| NPI | 1831051705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANN FARRELL GRINSELL CEO/Nurse Practitioner 804-578-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2025-12-01 |