Individual
KATHLEEN F EVIZA-FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN-BC, RN
Contact information
Practice address
880 FOUNTAIN CT APT D, CHARLOTTESVILLE, VA 22901-1847
(434) 987-1569
Mailing address
880 FOUNTAIN CT APT D, CHARLOTTESVILLE, VA 22901-1847
(434) 987-1569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1284468
VA
163W00000X
Registered Nurse
95236360
CA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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