NPI | 1508373812 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCELLI PASCAL-RODRIGUEZ Psychiatric Nurse Practitioner 757-490-6463 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024174946) |
Enumeration Date | 2018-01-08 |
Last Update Date | 2019-10-28 |