Healthcare Provider Details

I. General information

NPI: 1154965945
Provider Name (Legal Business Name): SAPPHIRE FAMILY PRACTICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2019
Last Update Date: 01/23/2020
Certification Date: 01/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1956 EVELYN BYRD AVE
HARRISONBURG VA
22801-3423
US

IV. Provider business mailing address

1956 EVELYN BYRD AVE
HARRISONBURG VA
22801-3423
US

V. Phone/Fax

Practice location:
  • Phone: 515-822-1178
  • Fax:
Mailing address:
  • Phone: 540-217-4455
  • Fax: 540-217-5169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHELLE W. K. SEEKFORD
Title or Position: OWNER
Credential: FNP-C
Phone: 540-434-5709