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NPI Profile for VIRGINIA A BROCK in PARKSLEY, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI # | 1548625114 |
|
| Status | Active | |
| Credentials | PMHNP | |
| Entity | Individual | |
| Enumeration date | 12/23/2015 | |
| Last updated | 05/10/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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VIRGINIA A BROCK
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VIRGINIA A BROCK, PMHNP