Individual
SIRI HARALDSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
114 JAMESWOOD, WILLIAMSBURG, VA 23185-8102
(757) 903-5421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001266296
VA
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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