Isle Of Wight Family Practice, Llc

NPI 1275705196 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1275705196
Enumeration Date 04/01/2008
Last Updated 04/01/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CECELIA CECELIA
Position FAMILY NURSE PRATITIONER
Phone (757) 332-6342
Fax (757) 357-9214
Practice Location
1807 SOUTH CHURCH STREET
SUITE 200 C
SMITHFIELD VA, 23430, US
Phone (757) 332-6342
Fax (757) 357-9214
Business Location
1807 SOUTH CHURCH STREET
SUITE 200 C
SMITHFIELD VA, 23430, US
Phone (757) 332-6342
Fax (757) 357-9214
Toxanomy
Taxonomy Code 363LF0000X
License State Virginia
License Number 1023097615
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According to our database, Isle Of Wight Family Practice, Llc NPI is 1275705196, taxonomy code is 363LF0000X and license number is 1023097615, license state is located at Virginia. Isle Of Wight Family Practice, Llc physically located at 1807 South Church Street, Smithfield VA, 23430. NPI Number 1033115704 has the healthcare provider type.

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1275705196 NPI number is provided on an as is basis without warranty of any kind. 1275705196 is maintained by the National Plan & Provider Enumeration System. The contents of Isle Of Wight Family Practice, Llc are for informational purposes only.