Individual
MRS. KATHY HANCOCK GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
3706WINCHESTER DRIVE, SUITE 200, PORTSMOUTH, VA 23707-4332
(757) 393-4124
(757) 393-4991
Mailing address
525 RIVERSIDE DR, PORTSMOUTH, VA 23707-1119
(757) 488-0563
(757) 673-4362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024053012
VA
Other
Enumeration date
01/05/2006
Last updated
09/29/2010
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