Individual
MR. NICHOLAS JAMES CRODICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
600 GRESHAM DR STE 8600, NORFOLK, VA 23507-1904
(757) 388-6005
Mailing address
600 GRESHAM DR STE 8600, NORFOLK, VA 23507-1904
(757) 388-6005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009381
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/05/2022
Last updated
11/21/2023
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