Individual
GRAEME BANNERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(240) 481-0586
Mailing address
410 MARYLAND AVE, NORFOLK, VA 23508-2820
(240) 481-0586
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024182708
VA
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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