MEDICARE: DR. GLORIA JUST NP, PHD, RN

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	363LA2200X	Adult Health Nurse Practitioner	0017137900	VA

General Provider Information

NPI Number	:	1770587024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GLORIA JUST NP, PHD, RN

Provider Business Mailing Address
First Line	:	238 MEADOW POINT DR
Second Line	:
City	:	MONETA
State	:	VA
Zip	:	24121-2603
Country	:	US
Telephone Number	:	540-297-5174
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 WASHINGTON STREET
Second Line	:
City	:	BEDFORD
State	:	VA
Zip	:	24523
Country	:	US
Telephone Number	:	540-586-3711
Fax Number	:	540-586-4666

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

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	07/08/2007

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