Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 0024169589 | VA |
NPI | 1023168788 |
---|---|
Provider Name | Ms. Mary E Tombes |
First Address | Richmond, VA 23235-4248 |
Second Address | Richmond, VA 23298-5017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 14/10/2011 |