person
Madison Mcnicholas
Student in an Organized Health Care Education/Training Program in Norfolk, Virginia
NPI 1902429152

Madison Mcnicholas is a Student in an Organized Health Care Education/Training Program based in Norfolk, VA. Madison Mcnicholas practices in Norfolk, VA. The NPI Number for Madison Mcnicholas is 1902429152 and holds a License No. (Virginia).

The current practice location address for Madison Mcnicholas is 5115 Hamptom Blvd, Norfolk, VA and can be reached out via phone at 703-999-7171.

Location: 5115 Hamptom Blvd, Norfolk, VA, 23508
person
Provider Profile Details
NPI Number
1902429152
Provider Name
Madison Mcnicholas
Credential
Provider Entity Type
Individual
Gender
Female
Address
5115 Hamptom Blvd, Norfolk, VA, 23508
Phone Number
703-999-7171
Fax Number
Provider Enumeration Date
05/22/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390200000X 05 VA
institution
Provider Business Practice Location Address Details
Address
5115 Hamptom Blvd
City
State
Zip
23508
Phone Number
703-999-7171
Fax Number
person
Provider Business Mailing Address Details
Address
5115 Hamptom Blvd
City
State
Zip
23508
Phone Number
703-999-7171
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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