| NPI | 1477404481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMISE HASTINGS STINE Nurse Practitioner 757-729-5529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2026-02-05 |
| Last Update Date | 2026-07-09 |