Individual
PATRICK G NORTHCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1870 AMHERST ST STE F, WINCHESTER, VA 22601-2841
(540) 536-0010
Mailing address
1870 AMHERST ST STE F, WINCHESTER, VA 22601-2841
(540) 536-0110
(540) 536-0031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024165477
VA
363LF0000X
Family Nurse Practitioner
60297
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982684676
—
VA
05
—
7103226000
—
WV
01
—
P00657228
MEDICARE RR
VA
Enumeration date
01/19/2006
Last updated
01/17/2023
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