D'Agostino, Mary Jo

D'Agostino, Mary Jo is an individual health care provider with primary practice located at 1 Gooch Drive College Of William And Mary, Williamsburg VA 23185-8795. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. D'Agostino, Mary Jo can be contacted via phone (757) 221-4386.

Contact Information

Primary practice address
1 Gooch Drive College Of William And Mary Williamsburg VA 23185-8795
Phone: (757) 221-4386
Fax: (757) 221-1245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024127880 Virginia

Profile Details

NPI number 1124210117
LBN Legal business name D'Agostino, Mary Jo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2007
Last updated Aug 14th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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