Individual
KAITLYN AVERSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 OYSTER POINT RD STE A, NEWPORT NEWS, VA 23602-6926
(757) 249-3000
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024177774
VA
367A00000X
Advanced Practice Midwife
Primary
0024177774
VA
Other
Enumeration date
07/23/2019
Last updated
12/05/2024
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