Healthcare Provider Details

I. General information

NPI: 1326628058
Provider Name (Legal Business Name): BRITTANY LEE WOHLER ENGLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY LEE WOHLER

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2145 MOUNT PLEASANT BLVD SE
ROANOKE VA
24014-3632
US

IV. Provider business mailing address

213 S JEFFERSON ST STE 1006
ROANOKE VA
24011-1713
US

V. Phone/Fax

Practice location:
  • Phone: 540-427-9200
  • Fax: 540-427-3237
Mailing address:
  • Phone: 540-224-5705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101282455
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: