Individual provider · Type 1 NPI
Mildred Clark Neagle, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Glen Allen, VA
NPI number
1336216589
Active
Practice location
Henrico Area Mental Health And Retardation Services, 10299 Woodman Rd
Glen Allen, VA 23060
Fax (804) 727-8364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0017138700 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1336216589
Mildred Clark Neagle, NURSE PRACTITIONER's National Provider Identifier is 1336216589, issued on Nov 30, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glen Allen, VA. The record was last updated on Oct 6, 2008.