DOGWOOD LIFESTYLE MEDICINE PLC NPI 1487262945

NPI Information

NPI: 1487262945
Provider Name: DOGWOOD LIFESTYLE MEDICINE PLC

Doing Business As: DOGWOOD WELLNESS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4414 LAFAYETTE BLVD STE 239B
FREDERICKSBURG, VA
ZIP 22408
Phone: (540) 212-9525
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DOGWOOD LIFESTYLE MEDICINE PLC is a primary care clinic center in Fredericksburg, VA. DOGWOOD LIFESTYLE MEDICINE PLC NPI is 1487262945. The provider is registered as an organization entity type.
The provider Is Doing Business As Dogwood Wellness.

The provider's business location address is:

4414 LAFAYETTE BLVD STE 239B
FREDERICKSBURG, VA
ZIP 22408-271
Phone: (540) 212-9525
Fax: (540) 779-7696

The provider's authorized official is Jonathan Yoder .
The authorized official title is Nurse Practitioner and has the following contact phone number (540) 212-9525.

The enumeration date for this NPI number is 7/20/2020 and was last updated on 8/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			No
2	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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