Organization · Type 2 NPI
Specialty Healthcare
Family Nurse Practitioner · Blackstone, VA
NPI number
1144870809
Active
Practice location
900 S Main St
Blackstone, VA 23824-2644
Mailing address
PO Box 4595
Midlothian, VA 23112-0010
Other practice locations
- 1575 Scott Dr, Farmville, VA 23901-2662 · (804) 426-2742
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1144870809
Specialty Healthcare's National Provider Identifier is 1144870809, issued on Sep 16, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Blackstone, VA. The record was last updated on Mar 8, 2021.