Organization
MOMENTUM CARE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY T GERMAINE NP (AUTHORIZED OFFICIAL / PRESIDENT)
(804) 445-5622
Entity
Organization
Contact information
Practice address
8001 FRANKLIN FARMS DR RM 127, RICHMOND, VA 23229-5100
(804) 282-9133
(804) 282-9135
Mailing address
PO BOX 226, CARET, VA 22436-0226
(804) 445-5622
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024172774
VIRGINIA MEDICAL LICENSE
VA
Enumeration date
04/23/2020
Last updated
04/23/2020
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