Online MD Urgent Care PLLC
Nurse Practitioner, Family in Henrico, VA. Organization (NPI-2).
NPI number1699485490
StatusActive
Last updated in NPPESDec 5, 2022
Details
- NPI
- 1699485490
- Entity type
- Organization (NPI-2)
- Legal business name
- Online MD Urgent Care PLLC
- Organization subpart
- No
- Enumeration date
- Dec 2, 2022
- Certification date
- Dec 5, 2022
- Last updated
- Dec 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | – | – | |
| 207R00000X | Internal Medicine | – | – |
Practice location
2301 Hilliard Rd Ste 2Henrico, VA 23228-4525
Phone 804-926-8466
Mailing address
2301 Hilliard Rd Ste 2Henrico, VA 23228-4525
Phone 804-926-8466
Authorized official
Diane Alvarez
Owner
8049268466
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