Individual
JOYCE VANNATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
918 COLLEEN DR, NEWPORT NEWS, VA 23608-2707
(757) 369-8842
Mailing address
918 COLLEEN DR, NEWPORT NEWS, VA 23608-2707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024174127
VA
363LA2200X
Adult Health Nurse Practitioner
0024174127
VA
363LG0600X
Gerontology Nurse Practitioner
0024174127
VA
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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