OrganizationActive
Pediatrix Medical Group
NPI 1093959157 · Critical Care Neonatal Nurse Practitioner · Richmond, VA
Provider details
- NPI number
- 1093959157
- Entity type
- Organization
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Nicholas Glaser, Assistant Secretary(954) 384-0175
- License
- 0024102823 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7101 Jahnke Rd
Richmond, VA 23225-4017
Phone: (804) 323-8893
Approximate (ZIP-level) locationGet directions
Mailing address
1301 Concord Ter
Sunrise, FL 33323-2843
Registry dates
- Enumerated
- 2009-04-20
- Last updated
- 2024-11-04
- Certified
- 2024-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.