Organization · Type 2 NPI
The Changing Tide Body, Mind & Spirit P.c.
Psychiatric/Mental Health Nurse Practitioner · Mathews, VA
NPI number
1144874447
Active
Practice location
10978 Buckley Hall Road
Mathews, VA 23109-2310
Fax (804) 725-3510
Mailing address
PO Box 327
Mathews, VA 23109-0327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Mathews
About NPI 1144874447
The Changing Tide Body, Mind & Spirit P.c.'s National Provider Identifier is 1144874447, issued on Jul 25, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mathews, VA. The record was last updated on Jun 12, 2023.