Individual
MRS. LOUISE MARTHA MANETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
MCGUIRE MEDICAL CENTER 1201 BROAD ROCK RD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
PO BOX 694, CHESTERFIELD, VA 23832-0009
(804) 675-5000
(804) 675-5778
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024164160
VA
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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