Individual
TIA BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
263 MCLAWS CIR STE 105, WILLIAMSBURG, VA 23185-5674
(757) 941-5600
Mailing address
856 J CLYDE MORRIS BLVD, STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1705911
VA
363LG0600X
Gerontology Nurse Practitioner
1705911
VA
Other
Enumeration date
04/29/2017
Last updated
09/11/2018
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