Healthcare Provider Details

I. General information

NPI: 1992738801
Provider Name (Legal Business Name): BARBARA A WYANT REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA A WYANT-STROOP REGISTERED NURSE

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 FRONT ROYAL PIKE
WINCHESTER VA
22602-4346
US

IV. Provider business mailing address

206 SURREY CLUB LN
STEPHENS CITY VA
22655-2142
US

V. Phone/Fax

Practice location:
  • Phone: 540-667-8888
  • Fax: 540-678-9518
Mailing address:
  • Phone: 540-667-8888
  • Fax: 540-678-9518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number138720
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: