Individual
MARIA HAZEL COHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 E. MARSHALL STREET, INTERNAL MEDICINE, RICHMOND, VA 23298-0509
(808) 628-1215
(804) 828-5566
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024171880
VA
363LA2200X
Adult Health Nurse Practitioner
0024171880
VA
363LG0600X
Gerontology Nurse Practitioner
0024171880
VA
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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