Provider Demographics
NPI:1710594932
Name:HEALTHY ADVOCATE
Entity Type:Organization
Organization Name:HEALTHY ADVOCATE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OBINNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-475-3754
Mailing Address - Street 1:5904 CARRINGTON GREEN CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-3439
Mailing Address - Country:US
Mailing Address - Phone:804-475-3754
Mailing Address - Fax:
Practice Address - Street 1:5904 CARRINGTON GREEN CT
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-3439
Practice Address - Country:US
Practice Address - Phone:804-475-3754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service