Provider Demographics
NPI:1336500560
Name:COMPREHENSIVE FAMILY PRACTICE, INC
Entity Type:Organization
Organization Name:COMPREHENSIVE FAMILY PRACTICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:COETTA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NEECE
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C, MSN
Authorized Official - Phone:276-597-6326
Mailing Address - Street 1:18334 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:GRUNDY
Mailing Address - State:VA
Mailing Address - Zip Code:24614-7182
Mailing Address - Country:US
Mailing Address - Phone:276-597-6326
Mailing Address - Fax:276-597-6300
Practice Address - Street 1:18334 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:GRUNDY
Practice Address - State:VA
Practice Address - Zip Code:24614-7182
Practice Address - Country:US
Practice Address - Phone:276-597-6326
Practice Address - Fax:276-597-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty