Individual
MS. AMY P KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2790 GODWIN BLVD STE 360, SUFFOLK, VA 23434-8153
(757) 539-3911
(757) 925-0615
Mailing address
2790 GODWIN BLVD STE 360, SUFFOLK, VA 23434-8153
(757) 539-3911
(757) 925-0615
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024167201
VA
363LW0102X
Women's Health Nurse Practitioner
0024167201
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024167201
LICENSE
VA
05
—
1821133174
—
VA
05
—
790259H
—
NC
Enumeration date
06/01/2007
Last updated
01/22/2018
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