Virginia In-Home Partner-Xii, LLC
NPI #1780279075 in Wytheville, Virginia
Provider Information
- NPI Number
- 1780279075
- Entity Type
- Organization
- Organization Name
- Virginia In-Home Partner-Xii, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Mar 8, 2021
- Last Updated
- Jul 3, 2024
Practice Location
- Address
- 1155 N 4TH ST
- City
- Wytheville
- State
- Virginia
- ZIP Code
- 24382-1096
- Phone
- (276) 228-0840
Authorized Official
- Name
- JOSHUA L PROFFITT
- Title
- PRESIDENT
- Phone
- (337) 233-1307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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