| NPI | 1801268842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NEIDERER Do 804-767-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 102203303) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |