Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 0024082953 | VA |
NPI | 1114327475 |
---|---|
Provider Name | Nancy Giglio |
First Address | Henrico, VA 23229-7439 |
Second Address | Henrico, VA 23229-7439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2014 |
Last Update Date | 23/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7790597 | (05) | VA |