Mind Body Soul Wonderfully Made
Mind Body Soul Wonderfully Made provides Nurse Practitioner services in Portsmouth, Virginia. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
355 Crawford St Ste 102Portsmouth, VA 23704-2817
Phone: (757) 966-1270
Fax: (757) 966-2967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|
Record details
| NPI number | 1457139354 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tiffany Davis — Owner · (757) 966-1270 |
| NPI enumerated | September 20, 2023 |
| Last updated in NPPES | September 20, 2023 |
| Certification date | September 20, 2023 |
| Mailing address | 355 Crawford St Ste 102, Portsmouth, VA 23704-2817 |
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Mrs. Lauren Joyce Hughes, RN, MSN, WHNP-BC
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Michelle Lazarus
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Mrs. Amanda Michelle Northern, NP-C
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Relindis Nsofon Mutia, DNP
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Susan Peralta
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