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1376308957
ELISE R DOUGLASS
NORFOLK, VA
NPI
1376308957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024189032)
Enumeration Date
2024-02-14
Last Update Date
2024-03-14
Business Address
ELISE R DOUGLASS PMHNP-BC, APRN
5357 HENNEMAN DR
NORFOLK, VA 23513-2401
Phone number: 833-510-4357
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Mailing Address
ELISE R DOUGLASS PMHNP-BC, APRN
4600 MONTGOMERY RD STE 400
CINCINNATI, OH 45212-2600
Phone number: 833-510-4357
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