Individual
MILDRED CLARK NEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
HENRICO AREA MENTAL HEALTH AND RETARDATION SERVICES, 10299 WOODMAN RD, GLEN ALLEN, VA 23060
(804) 727-8435
(804) 727-8364
Mailing address
HENRICO AREA MENTAL HEALTH AND RETARDATION SERVICES, 10299 WOODMAN RD, GLEN ALLEN, VA 23060
(804) 727-8435
(804) 727-8364
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0017138700
VA
Other
Enumeration date
11/30/2006
Last updated
10/06/2008
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