Individual
VIRGINIA PENDER MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1139 E HIGH ST, CHARLOTTESVILLE, VA 22902-4856
(434) 817-8484
(434) 817-8490
Mailing address
1139 E HIGH ST, CHARLOTTESVILLE, VA 22902-4856
(434) 817-8484
(434) 817-8490
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024059420
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017000527
AUTHORIZATION TO PRESCRIB
VA
Enumeration date
07/20/2005
Last updated
01/29/2009
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