# OLYMPIA FAMILY MEDICINE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235546201
- **Authorized official:** DR. BERNICE NATALIE MUCUIS-PENHA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (804) 639-8145

## Contact information

- **Practice address:** 14024 WILEY CIR, MIDLOTHIAN, VA 23114-5578
- **Practice address phone:** (804) 639-8145
- **Mailing address:** 14024 WILEY CIR, MIDLOTHIAN, VA 23114-5578
- **Mailing address phone:** (804) 639-8145
- **Mailing address fax:** (804) 818-2637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101249977 | VA | Yes |

## Other

- **Enumeration date:** 07/22/2014
- **Last updated:** 03/07/2023