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 |