Individual
MR. ANDRES PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
120 KINGS WAY STE 3200, WILLIAMSBURG, VA 23185-2511
(757) 253-0051
Mailing address
4050 BATTERY BLVD APT 403, WILLIAMSBURG, VA 23185-4770
(757) 784-7040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024190754
VA
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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