MINDFULVISION PSYCHIATRY LLC NPI 1568284008

NPI Information

  • NPI: 1568284008
  • Provider Name: MINDFULVISION PSYCHIATRY LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 15 WHEELWRIGHT LN
    STAFFORD, VA
    ZIP 22554
  • Phone: (540) 698-4259

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NPI Details

MINDFULVISION PSYCHIATRY LLC is a psychiatric/mental health nurse practitioner in Stafford, VA. MINDFULVISION PSYCHIATRY LLC NPI is 1568284008. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15 WHEELWRIGHT LN
STAFFORD, VA
ZIP 22554-833
Phone: (540) 698-4259
Fax: (540) 736-0264

The provider's authorized official is Temiloluwa O Ilesanmi .
The authorized official title is President and has the following contact phone number (540) 698-4259.

The enumeration date for this NPI number is 10/28/2024 and was last updated on 10/28/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 3/30/2025

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