| NPI | 1508300880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA SUE KELLER-ARLEDGE Chief Nurse Practitioner 540-809-4454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: VA 0024169540) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |