Organization
REIGNITE AND REFORM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA R BERRY NURSE PRACTITIONER (PSYCHIATRIC NURSE PRACTITIONER)
(516) 710-3498
Entity
Organization
Contact information
Practice address
121 GRANBY PARK, NORFOLK, VA 23505-4101
(516) 710-3498
Mailing address
121 GRANBY PARK, NORFOLK, VA 23505-4101
(516) 710-3498
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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