Individual
MRS. KIRA MARIA DERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
6810 TEAGLE LN, GLOUCESTER, VA 23061-5386
(804) 210-1104
Mailing address
6810 TEAGLE LN, GLOUCESTER, VA 23061-5386
(804) 210-1104
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024180085
VA
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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