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Organization

NSG WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NOELLE S GREEN NP (OWNER)
(757) 712-4767
Entity
Organization

Contact information

Practice address
210 LOWDEN HUNT DR, HAMPTON, VA 23666-2248
(757) 712-4767
Mailing address
110 COLISEUM XING # 5462, HAMPTON, VA 23666-5971
(757) 712-4767

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
01/18/2023
Last updated
01/18/2023
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