Doctor Name: | KAREN NYMAN |
NPI Number: | 1407071442 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP, BC |
License Number: | 0001029833 |
Business Practice Address: | 576 Jefferson Ave Fort Eustis, VA - 236041373 |
Business Phone Number: | 7573147522 |
Business Fax Number: | |
Mailing Address: | 403 Rockbridge Rd, PORTSMOUTH |
State: | VA |
Postal Code: | 237072312 |
Phone Number: | 8043998036 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 04/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0001029833 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |