=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437479847
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMBRACING HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/08/2010
-----------------------------------------------------
Last Update Date | 09/16/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 385 GARRISONVILLE RD SUITE 204/211
-----------------------------------------------------
City | STAFFORD
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22554-1545
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-657-1223
-----------------------------------------------------
Fax | 540-657-1220
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 385 GARRISONVILLE RD SUITE 211
-----------------------------------------------------
City | STAFFORD
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22554-1545
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-657-1223
-----------------------------------------------------
Fax | 540-657-1220
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN OWNER
-----------------------------------------------------
Name | DR. YVONNE M VILLARREAL
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 540-286-3729
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------