NPI | 1316417918 |
---|---|
Doing Business As | BE HEALTHY & WELL |
Entity Type | Organization |
Authorized Contact | TYRA TANNER Clinical Director 804-621-5066 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
Enumeration Date | 2018-11-27 |
Last Update Date | 2024-02-04 |