| NPI | 1760116156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MILLER-WILLIAMS Nurse Practitioner 540-903-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-08-04 |