Individual
MRS. TRACI A WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 282-5011
(804) 285-1338
Mailing address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 282-5011
(804) 285-1338
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024170706
VA
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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