Individual
MICHELLE BARBOUR PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11803 JEFFERSON AVE, STE 110, NEWPORT NEWS, VA 23606-4390
(757) 873-0360
(757) 873-0847
Mailing address
856 J CLYDE MORRIS BLVD, STE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001165137
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024166299
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750535860
—
VA
Enumeration date
11/17/2008
Last updated
02/28/2011
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