Individual
EDWINA T FORCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
250 PANTOPS MOUNTAIN RD, CHARLOTTESVILLE, VA 22911-8686
(434) 924-8344
Mailing address
PO BOX 800778, CHARLOTTESVILLE, VA 22908-0778
(434) 924-8344
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024063178
VA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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