EMILY WALLACE BRANTLEY

WILLIAMSBURG, VA
NPI1366100802
Former NameEMILY CLARK WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024188752)
Additional Taxonomies163W00000X Registered Nurse
(Licence: VA  0001270316)
Enumeration Date2021-12-01
Last Update Date2023-12-21
Business Address
Mrs. EMILY WALLACE BRANTLEY NP
4374 NEW TOWN AVE STE 200
WILLIAMSBURG, VA 23188-2865
Phone number: 757-984-6110
Mailing Address
Mrs. EMILY WALLACE BRANTLEY NP
4374 NEW TOWN AVE STE 200
WILLIAMSBURG, VA 23188-2865
Phone number: 757-984-6110