Organization
CARDINAL CARE PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI MYRICK MSN,APRN,PMHNP-BC (NURSE PRACTITIONER)
(757) 653-4131
Entity
Organization
Contact information
Practice address
3600 W BROAD ST UNIT 536, RICHMOND, VA 23230-4948
(757) 653-4131
Mailing address
3600 W BROAD ST UNIT 536, RICHMOND, VA 23230-4948
(757) 653-4131
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700430733
—
VA
Enumeration date
10/27/2020
Last updated
12/07/2020
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