Individual
MIRIAM S NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 SENTARA CIRCLE, SUITE 203, WILLIAMSBURG, VA 23188-5727
(757) 873-9400
(757) 213-5701
Mailing address
6350 CENTER DR, SUITE 200, NORFOLK, VA 23502
(757) 213-5700
(757) 213-5701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024164788
VA
Other
Enumeration date
06/24/2005
Last updated
09/28/2017
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