Individual
KATHLEEN BUSTAMANTE VIADO EREZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1925 GLENN MITCHELL DR STE 202, VIRGINIA BEACH, VA 23456-0177
(757) 507-0900
(757) 301-6462
Mailing address
1925 GLENN MITCHELL DR STE 202, VIRGINIA BEACH, VA 23456-0177
(757) 507-0900
(757) 301-6462
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170340
VA
Other
Enumeration date
12/03/2012
Last updated
03/26/2024
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