Healthcare Provider Details

I. General information

NPI: 1831465756
Provider Name (Legal Business Name): BARBARA KIMBERLY GIRARDIN WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2012
Last Update Date: 03/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MADISON PLZ STE 103
CHESAPEAKE VA
23320-5179
US

IV. Provider business mailing address

1101 MADISON PLZ STE 103
CHESAPEAKE VA
23320-5179
US

V. Phone/Fax

Practice location:
  • Phone: 757-436-4111
  • Fax: 757-842-6099
Mailing address:
  • Phone: 757-436-4111
  • Fax: 757-842-6099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number0001199428
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: