Healthcare Provider Details

I. General information

NPI: 1114614179
Provider Name (Legal Business Name): TRIEU THI-HAI VO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 COSTELLO DR STE 200
WINCHESTER VA
22602-4686
US

IV. Provider business mailing address

230 COSTELLO DR STE 200
WINCHESTER VA
22602-4686
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-5400
  • Fax:
Mailing address:
  • Phone: 540-536-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0102208995
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0116038217
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: