Provider Demographics
NPI:1235652355
Name:WARD, VIRGINIA
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12150 WASHINGTON CENTER PARKWAY
Mailing Address - Street 2:BLDG 2 APT 102
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-2467
Mailing Address - Country:US
Mailing Address - Phone:303-512-3316
Mailing Address - Fax:
Practice Address - Street 1:12150 WASHINGTON CENTER PKWY APT 102
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-3149
Practice Address - Country:US
Practice Address - Phone:303-512-3316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator