Organization
ONLINE MD URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE ALVAREZ (OWNER)
(804) 926-8466
Entity
Organization
Contact information
Practice address
2301 HILLIARD RD STE 2, HENRICO, VA 23228-4525
(804) 926-8466
Mailing address
2301 HILLIARD RD STE 2, HENRICO, VA 23228-4525
(804) 926-8466
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
207R00000X
Internal Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/05/2022
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