Individual
THERESA BAUGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0388
(757) 953-7478
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0388
(757) 953-7478
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001165391
VA
163WC0400X
Case Management Registered Nurse
Primary
0001165391
VA
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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