Chincoteague Main Street LLC
NPI #1871256313 in Chincoteague, Virginia
Provider Information
- NPI Number
- 1871256313
- Entity Type
- Organization
- Organization Name
- Chincoteague Main Street LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Oct 21, 2021
- Last Updated
- May 8, 2023
Practice Location
- Address
- 4092 MAIN ST
- City
- Chincoteague
- State
- Virginia
- ZIP Code
- 23336-2405
- Phone
- (434) 987-5350
Authorized Official
- Name
- DENISE CROSSON, PMHNP-BC
- Title
- PRESIDENT
- Phone
- (434) 987-5350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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