GREENBRIER HEALTH AND WELLNESS CENTER LLC NPI 1548819014

NPI Information

GREENBRIER HEALTH AND WELLNESS CENTER LLC is a family nurse practitioner in Chesapeake, VA. GREENBRIER HEALTH AND WELLNESS CENTER LLC NPI is 1548819014. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Greenbrier Health And Wellness.

The provider's business location address is:

1226 PROGRESSIVE DR STE 101
CHESAPEAKE, VA
ZIP 23320-847
Phone: (757) 609-3301

The provider's authorized official is Maribelle M Blackmon .
The authorized official title is Owner and has the following contact phone number (757) 609-3301.

The CLIA number assigned to this NPI record is 49D2181936 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2019 and was last updated on 1/31/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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