Individual
AUDRA ELIZABETH DIMASCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
301 RIVERVIEW AVE, SUITE 700, NORFOLK, VA 23510-1065
(757) 252-9365
Mailing address
301 RIVERVIEW AVE, SUITE 700, NORFOLK, VA 23510-1065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173862
VA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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