Individual
MARIA JOSEPHINA CIRCOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HEALTH CENTER DR, BRIDGEWATER, VA 22812-9511
(540) 828-2634
Mailing address
100 HEALTH CENTER DR, BRIDGEWATER, VA 22812-9511
(540) 828-2634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001265370
VA
363LF0000X
Family Nurse Practitioner
Primary
0024177933
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024177933
BOARD OF NURSING/BOARD OF MEDICINE
VA
Enumeration date
07/23/2019
Last updated
07/16/2021
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