Individual
CINDY H PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
19 BRIAR KNOLL CT, STE 1, FISHERSVILLE, VA 22939-2635
(540) 949-0955
(540) 949-8377
Mailing address
PO BOX 4127, ROANOKE, VA 24015-0127
(940) 981-9394
(540) 344-7154
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024165889
VA
364S00000X
Clinical Nurse Specialist
0024165889
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010093317
VIRGINIA PREMIER
VA
05
—
010093317
—
VA
01
—
085354M
OPTIMA BEHAVORIAL
VA
01
—
172650
ANTHEM BEHAVORIAL
VA
01
—
5596863
FIRST HEALTH
VA
Enumeration date
02/15/2006
Last updated
09/16/2013
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