Individual
ATIYA T GILCHRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10409 MARBURY TER, GLEN ALLEN, VA 23060-3079
(804) 878-1716
Mailing address
10409 MARBURY TER, GLEN ALLEN, VA 23060-3079
(804) 878-1716
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002066405
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0436171760
—
VA
Enumeration date
10/19/2017
Last updated
10/19/2017
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