Individual
KAREN NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2244 EXECUTIVE DR STE A, HAMPTON, VA 23666-2430
(757) 315-7650
Mailing address
300 MEDICAL DR, HAMPTON, VA 23666-1765
(757) 788-0300
(757) 788-0969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024176091
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659424448
—
VA
Enumeration date
10/09/2018
Last updated
10/09/2018
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