Supatha Kimble Peters, FNP-C
NPI #1861984445 in Fort Eustis, Virginia
Provider Information
- NPI Number
- 1861984445
- Entity Type
- Individual
- Name
- Supatha Kimble Peters, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- May 31, 2018
- Last Updated
- Nov 19, 2024
Practice Location
- Address
- 576 JEFFERSON AVE
- City
- Fort Eustis
- State
- Virginia
- ZIP Code
- 23604-1373
- Phone
- (757) 314-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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