Individual
ANDRIA NANETTE WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 DISCOVERY DR, CHESAPEAKE, VA 23320-3871
(757) 668-2500
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7272
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102205560
VA
Other
Enumeration date
03/28/2016
Last updated
12/01/2021
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