Individual
PAULA L. NUCKLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
3308 HORSELYDOWN CT, RICHMOND, VA 23233-7616
(804) 364-7009
Mailing address
3308 HORSELYDOWN CT, RICHMOND, VA 23233-7616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054410
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010211280
—
VA
Enumeration date
02/21/2006
Last updated
03/29/2010
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