Individual
DR. ALEXANDRA JO CAVIN NILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
601 N COURTHOUSE RD, RICHMOND, VA 23236-4062
(804) 858-2020
(804) 423-9090
Mailing address
601 N COURTHOUSE RD, RICHMOND, VA 23236-4062
(804) 858-2020
(804) 423-9090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000764
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194051
ANTHEM
VA
Enumeration date
06/22/2006
Last updated
11/03/2008
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