Individual
ANDREA WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
100 COLLEGE DR, MARTINSVILLE, VA 24112-7588
(276) 666-0500
Mailing address
100 COLLEGE DR, MARTINSVILLE, VA 24112-7588
(276) 666-0500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0001219731
VA
363LF0000X
Family Nurse Practitioner
F06202594
VA
Other
Enumeration date
07/07/2020
Last updated
04/20/2021
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