Individual
ANNA L TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
4 HOSPITAL DR, CHARLOTTESVILLE, VA 22908-0001
(434) 924-9370
(434) 924-5539
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024171860
VA
Other
Enumeration date
07/21/2014
Last updated
03/15/2017
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