WILD: WOMEN AND INFANTS LONG-TERM DEVELOPMENT LLC NPI 1689295693

NPI Information

NPI: 1689295693
Provider Name: WILD: WOMEN AND INFANTS LONG-TERM DEVELOPMENT, LLC
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
1003 MAHONE ST
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 693-0274
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WILD: WOMEN AND INFANTS LONG-TERM DEVELOPMENT, LLC is an occupational medicine clinic center in Fredericksburg, VA. WILD: WOMEN AND INFANTS LONG-TERM DEVELOPMENT, LLC NPI is 1689295693. The provider is registered as an organization entity type.

The provider's business location address is:

1003 MAHONE ST
FREDERICKSBURG, VA
ZIP 22401-214
Phone: (540) 693-0274

The provider's authorized official is Hayley Chrzastowski .
The authorized official title is Founder/owner and has the following contact phone number (812) 219-0743.

The enumeration date for this NPI number is 4/30/2020 and was last updated on 5/21/2020.

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	Primary
1	261Q00000X	Clinic/Center		No
2	261QR0400X	Clinic/Center	Rehabilitation	No
3	261QX0100X	Clinic/Center	Occupational Medicine	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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