institution
Independence Psychiatric Services
Psychiatric/Mental Health Nurse Practitioner in Gainesville, Virginia
NPI 1649687054

Independence Psychiatric Services is a Psychiatric/Mental Health Nurse Practitioner based in Gainesville, VA and is specialized in Psychiatric/Mental Health. Independence Psychiatric Services practices in Gainesville, VA. The NPI Number for Independence Psychiatric Services is 1649687054 and holds a License No. 0024168508 (Virginia).

The current practice location address for Independence Psychiatric Services is 7544 Gardner Park Dr, Gainesville, VA and can be reached out via phone at 919-645-8435 and via fax at 877-416-0196.

Location: 7544 Gardner Park Dr, Gainesville, VA, 20155-3414
institution
Provider Profile Details
NPI Number
1649687054
Provider Name
Independence Psychiatric Services
Credential
Provider Entity Type
Organization
Address
7544 Gardner Park Dr, Gainesville, VA, 20155-3414
Phone Number
919-645-8435
Fax Number
877-416-0196
Provider Enumeration Date
07/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1396818795 01 VA NPI
institution
Provider Business Practice Location Address Details
Address
7544 Gardner Park Dr
City
State
Zip
20155-3414
Phone Number
919-645-8435
Fax Number
877-416-0196
person
Provider Business Mailing Address Details
Address
7544 Gardner Park Dr
City
State
Zip
20155-3414
Phone Number
919-645-8435
Fax Number
877-416-0196
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
0024168508 (Virginia)
Definition
Definition to come...
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