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NPI Code Detail

MEDICARE: MRS. MARY BETH RANK APRN-BC

MEDICARE: MRS. MARY BETH RANK APRN-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SC1501XCommunity Health/Public Health Clinical Nurse Specialist0015000778VA

General Provider Information

NPI Number : 1023018397
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY BETH RANK APRN-BC
Provider Business Mailing Address
First Line : 301 WYNDHURST DR
Second Line :
City : LYNCHBURG
State : VA
Zip : 24502-2549
Country : US
Telephone Number : 434-237-8277
Fax Number :
Provider Business Practice Location Address
First Line : 800 OAK ST
Second Line :
City : FARMVILLE
State : VA
Zip : 23901-1199
Country : US
Telephone Number : 434-315-2617
Fax Number : 434-315-2979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 07/08/2007

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