Individual
GINGER PETTENGILL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16681 PULLER HIGHWAY, DELTAVILLE, VA 23043
(804) 776-8000
(804) 776-6277
Mailing address
856 J CLYDE MORRIS BLVD, STE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001205470
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
0024167776
VA
Other
Enumeration date
05/16/2008
Last updated
07/07/2008
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