Individual
SALLY C. DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
11601 ROBIOUS RD, SUITE 100, MIDLOTHIAN, VA 23113-5605
(804) 379-9494
(804) 379-3702
Mailing address
11601 ROBIOUS RD, SUITE 100, MIDLOTHIAN, VA 23113-5605
(804) 379-9494
(804) 379-3702
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024165294
VA
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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