Individual
DOROTHY T TADDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1168 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2426
(757) 352-2030
(757) 352-2031
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0001129999
VA
Other
Enumeration date
10/24/2007
Last updated
03/10/2010
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