| NPI | 1528658895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGETTE MICHAELLE VEST Owner 540-529-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |