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Organization
SOUTHEAST VIRGINIA PSYCHIATRY PLLC
Active
Organization
SOUTHEAST VIRGINIA PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD JAMES EVARD PNHNP (OWNER)
(757) 633-3662
Entity
Organization
Contact information
Practice address
5345 FAIRFIELD BLVD, VIRGINIA BEACH, VA 23464-2509
(757) 633-3662
Mailing address
5345 FAIRFIELD BLVD, VIRGINIA BEACH, VA 23464-2509
(757) 633-3662
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/20/2024
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