| NPI | 1639347990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY ORTIZ Contract &Credentialing Specialist 804-482-6145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2024-09-26 |