| NPI | 1417824517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOSHA SHAMAE HALL Nurse Practitioner 757-663-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |