| NPI | 1417492034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANI MARIE WARREN Ob/Gyn Physician 757-496-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101256943) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0101256943) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0101256943) | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-03-24 |