Provider Demographics
NPI:1588551949
Name:VALLEY FAMILY HEALTH PLLC
Entity type:Organization
Organization Name:VALLEY FAMILY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:JAN
Authorized Official - Last Name:CONYERS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:540-470-2964
Mailing Address - Street 1:130 TWIN HILLS LN
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-3411
Mailing Address - Country:US
Mailing Address - Phone:540-910-1454
Mailing Address - Fax:
Practice Address - Street 1:2014 GOOSE CREEK RD STE 106B
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-6588
Practice Address - Country:US
Practice Address - Phone:540-470-2964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1104265354OtherNPPES