Individual
MISS GABRIELLE TIARRA QAHHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
700 KEMPER AVE, BLACKSTONE, VA 23824-3061
(757) 310-3925
(949) 863-5677
Mailing address
700 KEMPER AVE, BLACKSTONE, VA 23824-3061
(757) 310-3925
(949) 863-5677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176856
VA
363LP2300X
Primary Care Nurse Practitioner
0024176856
VA
Other
Enumeration date
12/03/2018
Last updated
12/22/2022
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