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Organization
BEWELL- LIFESTYLE & FUNCTIONAL HEALTH
Active
Organization
BEWELL- LIFESTYLE & FUNCTIONAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN MEISER RN, MSN, FNP-C (NURSE PRACTITIONER)
(434) 294-2416
Entity
Organization
Contact information
Practice address
337 MAIN ST, SMITHFIELD, VA 23430-1346
(434) 294-2416
Mailing address
10438 OAK SPRING RD, CARROLLTON, VA 23314-4130
(434) 294-2416
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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