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Michael Ngetich
Family Nurse Practitioner in Petersburg, Virginia
NPI 1447717665

Michael Ngetich is a Family Nurse Practitioner based in Petersburg, VA and is specialized in Family. Michael Ngetich practices in Petersburg, VA. The NPI Number for Michael Ngetich is 1447717665 and holds a License No. 2018039615 (Virginia).

The current practice location address for Michael Ngetich is 25 S Union St, Petersburg, VA and can be reached out via phone at 804-957-9601.

Location: 25 S Union St, Petersburg, VA, 23803-4221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447717665
Provider Name
Michael Ngetich
Credential
Provider Entity Type
Individual
Gender
Male
Address
25 S Union St, Petersburg, VA, 23803-4221
Phone Number
804-957-9601
Fax Number
Provider Enumeration Date
02/24/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2018039615 01 FAMILY NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
25 S Union St
City
Petersburg
State
Virginia
Zip
23803-4221
Phone Number
804-957-9601
Fax Number
person
Provider Business Mailing Address Details
Address
25 S Union St
City
Petersburg
State
Virginia
Zip
23803-4221
Phone Number
804-957-9601
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2018039615 (Missouri)
Definition
Definition to come...
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