Organization
EEHIM INC
Active
Other names
757 Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON BURR NP (DIRECTOR)
(757) 255-8546
Entity
Organization
Contact information
Practice address
714 J CLYDE MORRIS BLVD STE 160, NEWPORT NEWS, VA 23601-1500
(757) 255-8546
Mailing address
714 J CLYDE MORRIS BLVD STE 160, NEWPORT NEWS, VA 23601-1500
(757) 255-8546
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902848284
—
VA
Enumeration date
03/29/2018
Last updated
03/29/2018
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