Organization
RENEWING RVA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY K ST. GERMAIN FNP (FNP)
(804) 839-2003
Entity
Organization
Contact information
Practice address
15 N THOMPSON ST, RICHMOND, VA 23221-2762
(804) 839-2003
Mailing address
15 N THOMPSON ST, RICHMOND, VA 23221-2762
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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