Individual
REBECCA D CHILDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
767 TWIN BRIDGES RD, GREEN BAY, VA 23942-3046
(434) 480-8046
Mailing address
767 TWIN BRIDGES RD, GREEN BAY, VA 23942-3046
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024197382
VA
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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