Healthcare Provider Details

I. General information

NPI: 1205730330
Provider Name (Legal Business Name): MARY ORNDORFF RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 GREEN ST
WINCHESTER VA
22601-5647
US

IV. Provider business mailing address

609 GREEN ST
WINCHESTER VA
22601-5647
US

V. Phone/Fax

Practice location:
  • Phone: 540-247-6032
  • Fax:
Mailing address:
  • Phone: 540-247-6032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: