Individual
DELORIS COUNCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3900 WESTERRE PKWY STE 300, RICHMOND, VA 23233-1339
(443) 383-9300
(855) 866-8710
Mailing address
23039 STAVE MILL RD, WINDSOR, VA 23487-5218
(443) 383-9300
(855) 866-8710
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024177573
VA
Other
Enumeration date
05/06/2019
Last updated
04/03/2024
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