Individual
MARIROSE DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5249 OLDE TOWNE RD, WILLIAMSBURG, VA 23188-8111
(757) 259-3258
Mailing address
5249 OLDE TOWNE RD, WILLIAMSBURG, VA 23188-8111
(757) 259-3258
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173779
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024173779
BOARD OF NURSING
VA
Enumeration date
08/23/2016
Last updated
08/23/2016
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