Individual
MRS. PRISCILLA NAOMI CHANNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
105 TOWLER DR, HAMPTON, VA 23666-2652
(757) 896-9643
(757) 896-9643
Mailing address
105 TOWLER DR, HAMPTON, VA 23666-2652
(757) 896-9643
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0001075071
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9601082
—
VA
Enumeration date
08/05/2007
Last updated
11/27/2012
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