Isle of Wight Family Practice, LLC
NPI #1275705196 in Smithfield, Virginia
Provider Information
- NPI Number
- 1275705196
- Entity Type
- Organization
- Organization Name
- Isle of Wight Family Practice, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Apr 1, 2008
- Last Updated
- Apr 1, 2008
Practice Location
- Address
- 1807 SOUTH CHURCH STREET
- Address 2
- SUITE 200 C
- City
- Smithfield
- State
- Virginia
- ZIP Code
- 23430
- Phone
- (757) 332-6342
Authorized Official
- Name
- CECELIA CLARKE, FNP
- Title
- FAMILY NURSE PRATITIONER
- Phone
- (757) 332-6342
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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