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NPI Code Detail

MEDICARE: MS. NANCY G WILLARD OB/GYN NP

MEDICARE: MS. NANCY G WILLARD OB/GYN NP
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
1363L00000XNurse Practitioner0024066965VA

General Provider Information

NPI Number : 1932191210
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY G WILLARD OB/GYN NP
Provider Business Mailing Address
First Line : 608 JACKSON ST
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-5719
Country : US
Telephone Number : 540-899-4142
Fax Number : 540-899-4480
Provider Business Practice Location Address
First Line : 608 JACKSON ST
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-5719
Country : US
Telephone Number : 540-899-4142
Fax Number : 540-899-4480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 07/08/2007

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