# 360 HEALTH AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 360 Health and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710658307
- **Authorized official:** MRS. SHANNON MILLER NP (FNP-C)
- **Authorized official phone:** (540) 360-1077

## Contact information

- **Practice address:** 5570 RICHMOND RD BSMT SUITE, TROY, VA 22974-4421
- **Practice address phone:** (540) 360-1077
- **Practice address fax:** (434) 484-1919
- **Mailing address:** 5570 RICHMOND RD BSMT SUITE, TROY, VA 22974-4421
- **Mailing address phone:** (540) 360-1077
- **Mailing address fax:** (434) 484-1919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2021
- **Last updated:** 09/23/2021