Organization
ISLE OF WIGHT FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECELIA CLARKE FNP (FAMILY NURSE PRATITIONER)
(757) 332-6342
Entity
Organization
Contact information
Practice address
1807 SOUTH CHURCH STREET, SUITE 200 C, SMITHFIELD, VA 23430
(757) 332-6342
(757) 357-9214
Mailing address
1807 SOUTH CHURCH STREET, SUITE 200 C, SMITHFIELD, VA 23430
(757) 332-6342
(757) 357-9214
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1023097615
VA
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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