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NPI Code Detail

MEDICARE: RENEE CUNDIFF NAUFUL FNP-BC

MEDICARE:   RENEE CUNDIFF NAUFUL  FNP-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
1363LF0000XFamily Nurse Practitioner0024174106VA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner0024174106VA

General Provider Information

NPI Number : 1063963874
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE CUNDIFF NAUFUL FNP-BC
Provider Business Mailing Address
First Line : 1109 CHESDIN RD
Second Line :
City : FOREST
State : VA
Zip : 24551-4471
Country : US
Telephone Number : 434-221-6231
Fax Number :
Provider Business Practice Location Address
First Line : 1109 CHESDIN RD
Second Line :
City : FOREST
State : VA
Zip : 24551-4471
Country : US
Telephone Number : 434-221-6231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2016
Last Update Date : 02/06/2025

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Directions to “ RENEE CUNDIFF NAUFUL FNP-BC” Practice Location

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