Individual
NAOMI MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 N MECHANIC ST, FRANKLIN, VA 23851-1455
(757) 653-4131
(619) 374-4204
Mailing address
3600 W BROAD ST UNIT 536, RICHMOND, VA 23230-4948
(757) 653-4131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024177963
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024177963
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700430733
—
VA
Enumeration date
07/29/2019
Last updated
04/20/2022
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