Healthcare Provider Details

I. General information

NPI: 1114327475
Provider Name (Legal Business Name): NANCY GIGLIO CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2014
Last Update Date: 08/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 ROSLYN HILLS DR
HENRICO VA
23229-7439
US

IV. Provider business mailing address

220 ROSLYN HILLS DR
HENRICO VA
23229-7439
US

V. Phone/Fax

Practice location:
  • Phone: 804-282-8471
  • Fax: 804-282-8477
Mailing address:
  • Phone: 804-282-8471
  • Fax: 804-282-8477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number0024082953
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: