Individual
AUDREY MARTINA PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2120 OAKLAWN CT, VIRGINIA BEACH, VA 23454-7209
(757) 805-9132
Mailing address
2120 OAKLAWN CT, VIRGINIA BEACH, VA 23454-7209
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0001153020
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001153020
DOD
VA
Enumeration date
03/09/2021
Last updated
03/09/2021
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