| NPI | 1871640359 |
|---|---|
| Other Name | MEDICAID - NURSE PRACTITIONERS |
| Entity Type | Organization |
| Authorized Contact | DOMINIC J PULEO CFO 804-828-1295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: VA H1875) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |