Individual
LORETTA RAIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2256 IRISH RD, ESMONT, VA 22937-1945
(434) 286-3602
Mailing address
2256 IRISH RD, ESMONT, VA 22937-1945
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024180279
VA
Other
Enumeration date
10/01/2020
Last updated
10/26/2021
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