| NPI | 1548966575 |
|---|---|
| Doing Business As | OLD DOMINION UNIVERSITY COMMUNITY CARE |
| Entity Type | Organization |
| Authorized Contact | TAMMY SPEERHAS Director Of Odu Community Care 757-683-4390 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |