Organization
TUCKAHOE ORTHOPAEDIC ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE WILSON NICHOLS (ADMINISTRATOR)
(804) 288-2830
Entity
Organization
Contact information
Practice address
1501 MAPLE AVE, SUITE 200, RICHMOND, VA 23226-2553
(804) 285-2300
(804) 285-8420
Mailing address
PO BOX 71690, RICHMOND, VA 23255-1690
(804) 288-2830
(804) 288-2850
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0001186619
VA
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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