| NPI | 1033654264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNIS BEVERLY Physician 757-484-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174277) |
| Enumeration Date | 2016-12-25 |
| Last Update Date | 2016-12-25 |