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NPI Code Detail

MEDICARE: MRS. VIRGINIA GRACE HOPPER

MEDICARE: MRS. VIRGINIA GRACE HOPPER
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
1390200000XStudent in an Organized Health Care Education/Training ProgramVA
2163W00000XRegistered Nurse0001328222VA

General Provider Information

NPI Number : 1770440844
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VIRGINIA GRACE HOPPER
Provider Business Mailing Address
First Line : 658 NOUSH CT UNIT A
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22911-8529
Country : US
Telephone Number : 434-906-4754
Fax Number :
Provider Business Practice Location Address
First Line : 1250 E MARSHALL ST
Second Line :
City : RICHMOND
State : VA
Zip : 23298-5023
Country : US
Telephone Number : 804-828-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ MRS. VIRGINIA GRACE HOPPER ” Practice Location

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