Damuth, Cori O

Damuth, Cori O is an individual health care provider with primary practice located at 5900 Lake Wright Dr , Norfolk VA 23502-1871. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Damuth, Cori O can be contacted via phone (757) 466-8683.

Contact Information

Primary practice address
5900 Lake Wright Dr Norfolk VA 23502-1871
Phone: (757) 466-8683
Fax: (757) 466-0250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 000166375 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024166494 Virginia

Profile Details

NPI number 1295731180
LBN Legal business name Damuth, Cori O
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jan 17th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295731180 NPPES
Virginia Other 94929 OPTIMA

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