Organization · Type 2 NPI

Chincoteague Main Street LLC

Psychiatric/Mental Health Nurse Practitioner · Chincoteague, VA

NPI number 1871256313 Active

Practice location

4092 Main St
Chincoteague, VA 23336-2405

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

About NPI 1871256313

Chincoteague Main Street LLC's National Provider Identifier is 1871256313, issued on Oct 21, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chincoteague, VA. The record was last updated on May 8, 2023.