Provider Demographics
NPI:1639803075
Name:SHENANDOAH VALLEY FAMILY PRACTICELLC
Entity Type:Organization
Organization Name:SHENANDOAH VALLEY FAMILY PRACTICELLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN FNP OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:540-664-2043
Mailing Address - Street 1:119 UNION VIEW LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22603-3342
Mailing Address - Country:US
Mailing Address - Phone:540-664-2043
Mailing Address - Fax:
Practice Address - Street 1:119 UNION VIEW LN
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22603-3342
Practice Address - Country:US
Practice Address - Phone:540-664-2043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:S7267851
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty