| NPI | 1497316442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P BOERSMAN Psychiatric Nurse Practitioner 540-699-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-10-07 |