Healthcare Provider Details

I. General information

NPI: 1265560262
Provider Name (Legal Business Name): RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 LEE ST
CHARLOTTESVILLE VA
22908-0816
US

IV. Provider business mailing address

PO BOX 800778
CHARLOTTESVILLE VA
22908-0778
US

V. Phone/Fax

Practice location:
  • Phone: 434-924-8344
  • Fax:
Mailing address:
  • Phone: 434-924-8344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: WENDY HORTON
Title or Position: CEO
Credential:
Phone: 434-243-9308