Organization
BEACH ECLINIC LLC
Active
Other names
Beach eClnic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIKA COOK FNP-BC (OWNER/PROVIDER)
(757) 828-6188
Entity
Organization
Contact information
Practice address
413 22ND ST APT A, VIRGINIA BEACH, VA 23451-3389
(757) 828-6188
Mailing address
3419 VIRGINIA BEACH BLVD # 436, VIRGINIA BEACH, VA 23452-4419
(757) 828-6188
(888) 588-5587
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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