Individual
NILDA JO TENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 W RANDOLPH RD, HOPEWELL, VA 23860-2938
(804) 452-3624
(804) 452-2827
Mailing address
3212 LADY MARIAN LN, MIDLOTHIAN, VA 23113-1178
(804) 323-6811
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101041208
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346366291
—
VA
Enumeration date
03/22/2007
Last updated
04/07/2008
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