Individual provider · NPI-1

Heather Bamford, CPNP-AC

Nurse Practitioner, Pediatrics · Norfolk, VA

NPI number1780917625
StatusActive
Last updated in NPPESSep 10, 2009

Details

NPI
1780917625
Entity type
Individual (NPI-1)
Name
Heather Bamford
Credential
CPNP-AC
Sex
Female
Sole proprietor
No
Enumeration date
Sep 10, 2009
Last updated
Sep 10, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics24167827VAYes

Practice location

601 Childrens Ln
Children'S Cancer & Blood Disorder Center
Norfolk, VA 23507-1910

Phone 757-668-8253

Mailing address

601 Childrens Ln
Norfolk, VA 23507-1910

Phone 757-668-8253

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