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NPI Code Detail

MEDICARE: MITHRIL MINISTRATIONS LLC

MEDICARE: MITHRIL MINISTRATIONS LLC
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
1261QB0400XBirthing Clinic/Center
2176B00000XMidwife

General Provider Information

NPI Number : 1578388583
Entity Type Code : Organization
Provider Name (Legal Business Name) : MITHRIL MINISTRATIONS LLC
Provider Business Mailing Address
First Line : 420 W JUBAL EARLY DR STE 203
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-6435
Country : US
Telephone Number : 540-908-2671
Fax Number :
Provider Business Practice Location Address
First Line : 420 W JUBAL EARLY DR STE 203
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-6435
Country : US
Telephone Number : 540-908-2671
Fax Number : 540-808-4100
Authorized Official
Title or Position : OWNER
Name : HEATHER VOLLGRAFF BARRETT
Credential : LM, CPM
Telephone Number : 281-685-6945
Provider Enumeration Date : 11/15/2024
Last Update Date : 03/11/2025

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Directions to “MITHRIL MINISTRATIONS LLC ” Practice Location

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