Individual
LORETTA ANNE DICAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
739 THIMBLE SHOALS BLVD, SUITE 801, NEWPORT NEWS, VA 23606-3562
(757) 873-1009
(757) 873-7689
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170770
VA
Other
Enumeration date
04/30/2013
Last updated
07/02/2014
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