Krystin Malbon, FNP-C | |
324 Louisa Ave Ste 125, Virginia Beach, VA 23454-4669 | |
(757) 402-3421 | |
Not Available |
Full Name | Krystin Malbon |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 324 Louisa Ave Ste 125, Virginia Beach, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942858691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024178028 (Virginia) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Krystin Malbon, FNP-C 324 Louisa Ave Ste 125, Virginia Beach, VA 23454-4669 Ph: (757) 402-3421 | Krystin Malbon, FNP-C 324 Louisa Ave Ste 125, Virginia Beach, VA 23454-4669 Ph: (757) 402-3421 |
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