MEDICARE: GINGER NAYLOR WILLARD HEATH COACH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator
2	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1124860713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINGER NAYLOR WILLARD HEATH COACH

Provider Business Mailing Address
First Line	:	5645 5TH ST N
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-1005
Country	:	US
Telephone Number	:	703-967-8396
Fax Number	:

Provider Business Practice Location Address
First Line	:	5645 5TH ST N
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22205-1005
Country	:	US
Telephone Number	:	703-967-8396
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2024
Last Update Date	:	06/12/2024

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