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Organization
NP XPRESS HOUSECALL MEDICAL PRACTICE
Active
Organization
NP XPRESS HOUSECALL MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATARA C HARRIS NP (OWNER)
(757) 613-4224
Entity
Organization
Contact information
Practice address
3109 MELROSE CT, SUFFOLK, VA 23434-7279
(757) 613-4224
Mailing address
3109 MELROSE CT, SUFFOLK, VA 23434-7279
(757) 613-4224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170040
VA
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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