Organization
VIRGINIA FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY L RIEDT FNP (PRESIDENT)
(804) 784-4098
Entity
Organization
Contact information
Practice address
15078 BROWN PLEASANTS RD, MONTPELIER, VA 23192-2642
(804) 883-0046
(804) 883-0048
Mailing address
15078 BROWN PLEASANTS RD, MONTPELIER, VA 23192-2642
(804) 883-0046
(804) 883-0048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/14/2011
Last updated
09/23/2015
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