Individual
KATERINA T BASILIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5216 STRATFORD CHASE DR, VIRGINIA BEACH, VA 23464-5621
(682) 597-2846
Mailing address
5216 STRATFORD CHASE DR, VIRGINIA BEACH, VA 23464-5621
(682) 597-2846
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177273
VA
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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