Individual provider · Type 1 NPI

Mary Louise Tate, AGNP-C

Gerontology Nurse Practitioner · Montross, VA

NPI number 1750147435 Active

Practice location

434 Pierce Ln
Montross, VA 22520-2252

Call (804) 366-0913 Map

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X0024189538 (VA)

Gerontology Nurse Practitioner: Definition to come...

About NPI 1750147435

Mary Louise Tate, AGNP-C's National Provider Identifier is 1750147435, issued on Feb 21, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Montross, VA. The record was last updated on Feb 21, 2024.