Individual
KELLY MARSALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
201 EPPES ST, HOPEWELL, VA 23860-2717
(804) 541-1445
Mailing address
641 N PINETTA DR, NORTH CHESTERFIELD, VA 23235-4923
(804) 441-4064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176365
VA
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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