Individual
HAILEGIORGIS T. BIZUNEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11551 NUCKOLS RD STE P, GLEN ALLEN, VA 23059-5565
(804) 593-5935
(804) 593-5977
Mailing address
11551 NUCKOLS RD STE P, GLEN ALLEN, VA 23059-5565
(804) 593-5935
(804) 593-5977
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024181571
VA
Other
Enumeration date
07/03/2021
Last updated
02/20/2024
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