Individual
NELLY A MAYBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 SPORTS MEDICINE DR., SUITE 100, FISHERSVILLE, VA 22939
(540) 245-7180
(540) 245-7181
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101238509
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101238509
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346205069
FACILITY NPI
VA
01
—
1497719207
FACILITY MED/SURGE NPI #
VA
01
—
1538124433
FACILITY IPT NPI PROVIDER
VA
Enumeration date
09/14/2006
Last updated
05/10/2023
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