Provider Demographics
NPI:1811927528
Name:ALDERMAN, LIV LARSEN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:LIV
Middle Name:LARSEN
Last Name:ALDERMAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:1201 SAM PERRY BLVD
Mailing Address - Street 2:VIRGINIA CARDIOVASCULAR CONSULTANTS, SUITE 280
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401
Mailing Address - Country:US
Mailing Address - Phone:540-361-2922
Mailing Address - Fax:540-361-2927
Practice Address - Street 1:1201 SAM PERRY BLVD
Practice Address - Street 2:VIRGINIA CARDIOVASCULAR CONSULTANTS, SUITE 280
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4490
Practice Address - Country:US
Practice Address - Phone:540-361-2922
Practice Address - Fax:540-361-2927
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024164400363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner