Individual
JOSEPHINE LYNN MADDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
70 MEDICAL CENTER CIR STE 308, FISHERSVILLE, VA 22939-2273
(540) 245-7190
(540) 245-7191
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-008664
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2022
Last updated
08/28/2023
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