NPI 1932672763 · live from the CMS NPI Registry
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Nurse Practitioner, Family in Waverly, VA. National Provider Identifier 1932672763, active.
NPI record
| NPI | 1932672763 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 24427 Mussellwhite Dr, Waverly, VA 23891 |
| Practice phone | 804-834-2678 |
| Enumerated | January 3, 2019 |
| Last updated | January 3, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 0024175268 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.