| NPI | 1023638657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY T GERMAINE Authorized Official / President 804-445-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |