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Waterside Psychiatry Llc
Psychiatric/Mental Health Nurse Practitioner in Suffolk, Virginia
NPI 1477303790

Waterside Psychiatry Llc is a Psychiatric/Mental Health Nurse Practitioner based in Chesapeake, VA and is specialized in Psychiatric/Mental Health. Waterside Psychiatry Llc practices in Suffolk, VA. The NPI Number for Waterside Psychiatry Llc is 1477303790 and holds a License No. (Virginia).

The current practice location address for Waterside Psychiatry Llc is 425 W Washington St Ste 4, Suffolk, VA and can be reached out via phone at 757-209-4607 and via fax at 430-224-0004.

Location: 425 W Washington St Ste 4, Suffolk, VA, 23320-3226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477303790
Provider Name
Waterside Psychiatry Llc
Credential
Provider Entity Type
Organization
Address
425 W Washington St Ste 4, Suffolk, VA, 23320-3226
Phone Number
757-209-4607
Fax Number
430-224-0004
Provider Enumeration Date
03/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
425 W Washington St Ste 4
City
Suffolk
State
Virginia
Zip
23434-5320
Phone Number
757-209-4607
Fax Number
430-224-0004
person
Provider Business Mailing Address Details
Address
425 W Washington St Ste 4
City
Suffolk
State
Virginia
Zip
23434-5320
Phone Number
757-209-4607
Fax Number
430-224-0004
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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