Organization
LIVEWELL FAMILY HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY BENDALL FNP (OWNER)
(276) 328-2961
Entity
Organization
Contact information
Practice address
517 W MAIN ST, SUITE E, WISE, VA 24293-6905
(276) 328-2961
(276) 328-2965
Mailing address
PO BOX 3077, WISE, VA 24293-3077
(276) 328-2961
(276) 328-2965
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/05/2010
Last updated
08/10/2010
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