NPI | 1144090606 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTHA ADAIR NOLEN VESTERLUND Owner, Nurse Practitioner 434-941-2739 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2024-01-05 |
Last Update Date | 2024-01-05 |