Organization
GLADEVIEW MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER RICHARDSON FNP-BC (FAMILY NURSE PRACTITIONER/OWNER)
(276) 233-7864
Entity
Organization
Contact information
Practice address
279 GLADEVIEW DR, FRIES, VA 24330-3936
(276) 233-7864
Mailing address
279 GLADEVIEW DR, FRIES, VA 24330-3936
(276) 233-7864
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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