Individual
CARRIE RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4534 BONNEY RD STE B, VIRGINIA BEACH, VA 23462-3873
(757) 499-4101
Mailing address
1908 KILLEY ST, VIRGINIA BEACH, VA 23453-3608
(757) 839-6745
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06202346
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
OTHER
—
Enumeration date
07/01/2020
Last updated
03/28/2023
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