| NPI | 1942835673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANNE BUDA Fnp C, RN Fa 757-410-8479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |