Organization
ATYPICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA BROWNLEE JOHNSON NP (OWNER)
(804) 687-6580
Entity
Organization
Contact information
Practice address
2925 SANDY GROVE CT, RICHMOND, VA 23223-1500
(804) 687-6580
Mailing address
PO BOX 398, MECHANICSVILLE, VA 23111-0398
(804) 687-6580
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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