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MRS. CLARICE NICHOLE WARDLAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
3333 STATION HOUSE RD STE B, CHESAPEAKE, VA 23321-2515
(833) 526-4448
(757) 859-0007
Mailing address
3590 TOWNE POINT RD UNIT 6791, PORTSMOUTH, VA 23703-1339
(757) 439-7406
(757) 859-0007

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024177177
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175627201
TX
05
1972694735
VA
05
MW0175
SC
Enumeration date
09/27/2006
Last updated
01/13/2023
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