Individual
CIARA ANTOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
125 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 200-4422
Mailing address
104 ARCADE AVE, AMHERST, NY 14226-2354
(716) 292-6267
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024189654
VA
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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