| NPI | 1154425874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE M MINEHART President/Nurse Practitoner 540-776-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0024125716) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |