Sandy N Bacallao, NP

NPI #1154860484 in Newport News, Virginia

Provider Information

NPI Number
1154860484
Entity Type
Individual
Name
Sandy N Bacallao, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Feb 20, 2017
Last Updated
May 15, 2017

Practice Location

Address
12200 WARWICK BLVD
Address 2
SUITE 310
ZIP Code
23601-2344
Phone
(757) 534-9988

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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