Organization
NANCY M HUSSAR LLC
Active
Other names
Wilderness Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY M HUSSAR MSN (OWNER)
(540) 755-7157
Entity
Organization
Contact information
Practice address
4444 GERMANNA HWY STE 330, LOCUST GROVE, VA 22508-2044
(540) 755-7157
(540) 755-2846
Mailing address
4444 GERMANNA HWY STE 330, LOCUST GROVE, VA 22508-2044
(540) 755-7157
(540) 755-2846
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024171389
STATE LICENSE
VA
Enumeration date
05/23/2019
Last updated
05/24/2019
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