Individual
MS. MARTHA ANNE VERSPRILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 RIVERVIEW AVE STE 512, NORFOLK, VA 23510-1066
(757) 623-0005
(757) 389-5774
Mailing address
4445 CORPORATION LN STE 100, VIRGINIA BEACH, VA 23462-3666
(757) 623-0005
(757) 548-1129
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
001000355
NC
363AM0700X
Medical Physician Assistant
Primary
0110001949
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010250862
—
VA
Enumeration date
05/03/2006
Last updated
01/20/2022
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