Individual
NTOH NTOH PRINCEWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SENIOR CARE M
Contact information
Practice address
801 W LITTLE CREEK RD STE 104, NORFOLK, VA 23505-2036
(757) 866-2696
Mailing address
801 W LITTLE CREEK RD STE 104, NORFOLK, VA 23505-2036
(757) 866-2696
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
0001307166
VA
164W00000X
Licensed Practical Nurse
0002094523
VA
372600000X
Adult Companion
—
VA
374U00000X
Home Health Aide
Primary
—
VA
376K00000X
Nurse's Aide
—
VA
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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