Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 0024180738 | VA |
NPI | 1003400797 |
---|---|
Provider Name | Sarah Goldman Aledia |
First Address | Newport News, VA 23601-1318 |
Second Address | Newport News, VA 23601-2344 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2021 |
Last Update Date | 20/09/2021 |