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Individual

ANITA RENEE WOOLFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, NP-C

Contact information

Practice address
18765 RIVERSIDE DRIVE, VANSANT, VA 24656
(276) 935-2880
(276) 935-2889
Mailing address
PO BOX 924, VANSANT, VA 24656-0924
(276) 935-2880

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024171554
VA
363LF0000X
Family Nurse Practitioner
19786
TN

Other

Enumeration date
03/24/2014
Last updated
05/06/2015
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