Individual
MR. MICHAEL DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1504 THREE GAIT TRL, VIRGINIA BEACH, VA 23453-2501
(757) 214-5068
Mailing address
6160 KEMPSVILLE CIR STE 302A, NORFOLK, VA 23502-3936
(757) 466-9288
Taxonomy
Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
0001207279
VA
363LF0000X
Family Nurse Practitioner
Primary
0024186763
VA
Other
Enumeration date
09/27/2022
Last updated
03/22/2023
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