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Individual

KRISTINA DAPHNE MCIRVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1997 S MAIN ST STE 703, BLACKSBURG, VA 24060-6606
(276) 235-3205
Mailing address
850 S JEFFERSON FOREST LN, BLACKSBURG, VA 24060-8985
(317) 908-5079

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024187622
VA

Other

Enumeration date
03/23/2007
Last updated
08/04/2023
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