Individual
MRS. ALICE V. WILKINS-BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2453 PRUDEN BLVD, SUFFOLK, VA 23434-4235
(757) 539-7771
(757) 539-4360
Mailing address
PO BOX 631982, BALTIMORE, MD 21263-1982
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024164265
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00667250
RAILROAD MEDICARE
VA
Enumeration date
05/30/2007
Last updated
07/14/2010
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