Individual
ALLISON RAE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10900 NUCKOLS RD STE 110, GLEN ALLEN, VA 23060-9246
(314) 492-2412
Mailing address
10900 NUCKOLS RD STE 110, GLEN ALLEN, VA 23060-9246
(314) 492-2412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041442062
IL
163W00000X
Registered Nurse
2007023581
MO
363L00000X
Nurse Practitioner
2017008073
MO
363L00000X
Nurse Practitioner
209016662
IL
363L00000X
Nurse Practitioner
Primary
5013863
NC
Other
Enumeration date
02/26/2018
Last updated
03/16/2022
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