Healthcare Provider Details

I. General information

NPI: 1508207226
Provider Name (Legal Business Name): AMY GRIFFIN MEADORS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2013
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 STONY POINT PKWY SUITE 110
RICHMOND VA
23235-1962
US

IV. Provider business mailing address

8700 STONY POINT PKWY SUITE 110
RICHMOND VA
23235-1962
US

V. Phone/Fax

Practice location:
  • Phone: 804-330-5501
  • Fax: 804-272-4504
Mailing address:
  • Phone: 804-330-5501
  • Fax: 804-272-4504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024170994
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: