Individual
ELIZABETH BERKELEIGH LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13540 HULL STREET RD, MIDLOTHIAN, VA 23112-2107
(804) 739-6142
Mailing address
11430 IVYWOOD RD, CHESTER, VA 23831-1538
(804) 937-0910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174631
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
PTAN
VA
Enumeration date
06/13/2017
Last updated
12/04/2024
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