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Organization

BEELINE NEURO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. REBECCA ANN FARRELL GRINSELL MSN, APRN, FNP-C (CEO/NURSE PRACTITIONER)
(804) 578-7442
Entity
Organization

Contact information

Practice address
3900 WESTERRE PKWY STE 300, RICHMOND, VA 23233-1339
(804) 578-7442
(804) 215-0454
Mailing address
3900 WESTERRE PKWY STE 300, RICHMOND, VA 23233-1339
(804) 578-7442
(804) 215-0454

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
12/01/2025
Last updated
12/01/2025
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