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 |