Organization
PIONEER FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA CAROLINE BOARDWINE NP (OWNER)
(276) 883-5455
Entity
Organization
Contact information
Practice address
1768 E MAIN ST, LEBANON, VA 24266-3438
(276) 883-5455
(276) 883-9208
Mailing address
3327 SUNSET DR, SAINT PAUL, VA 24283-3713
(276) 883-5455
(276) 883-9208
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
01/23/2026
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