| NPI | 1134862311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM RENEE NESTER Owner 434-425-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2025-10-17 |