| NPI | 1710579974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERWOOD RICHERS Manager/Owner 571-585-2483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |