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Individual

NICHOLE K FOGLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 628-6990
(804) 628-6932
Mailing address
PO BOX 91734, RICHMOND, VA 23291-7134
(804) 358-6100
(804) 342-7619

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024164251
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008951765
VA
05
1306840277
VA
Enumeration date
06/09/2005
Last updated
01/29/2018
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