| NPI | 1457758393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN DIANE BEATTY Manager/Provider 757-773-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024168880) |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2023-04-12 |