Provider Demographics
NPI:1639149388
Name:NORRIS, VIRGINIA (MGC)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 980539
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0539
Mailing Address - Country:US
Mailing Address - Phone:804-828-0870
Mailing Address - Fax:804-828-0406
Practice Address - Street 1:1001 E BROAD ST
Practice Address - Street 2:SUITE 222
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1928
Practice Address - Country:US
Practice Address - Phone:804-828-0870
Practice Address - Fax:804-828-0406
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA99231170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS