Individual
MARY BETH OURS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-7897
(540) 536-7843
Mailing address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-7897
(540) 536-7843
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
0001118158
VA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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