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Organization

COUNTRY PRIMARY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAMELA SUE KELLER-ARLEDGE FNP-BC (CHIEF NURSE PRACTITIONER)
(540) 809-4454
Entity
Organization

Contact information

Practice address
8409 W HILDY CT, SPOTSYLVANIA, VA 22553-3623
(540) 809-4454
Mailing address
8409 W HILDY CT, SPOTSYLVANIA, VA 22553-3623
(540) 809-4454

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024169540
VA

Other

Enumeration date
12/06/2016
Last updated
12/06/2016
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