# NANCY M HUSSAR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wilderness Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295392389
- **Authorized official:** NANCY M HUSSAR MSN (OWNER)
- **Authorized official phone:** (540) 755-7157

## Contact information

- **Practice address:** 4444 GERMANNA HWY STE 330, LOCUST GROVE, VA 22508-2044
- **Practice address phone:** (540) 755-7157
- **Practice address fax:** (540) 755-2846
- **Mailing address:** 4444 GERMANNA HWY STE 330, LOCUST GROVE, VA 22508-2044
- **Mailing address phone:** (540) 755-7157
- **Mailing address fax:** (540) 755-2846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2019
- **Last updated:** 05/24/2019