Provider Demographics
NPI:1770572372
Name:UNION, NANCY A (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:A
Last Name:UNION
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 BLOOMFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-7800
Mailing Address - Country:US
Mailing Address - Phone:434-295-9669
Mailing Address - Fax:
Practice Address - Street 1:565 BLOOMFIELD RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-7800
Practice Address - Country:US
Practice Address - Phone:434-295-9669
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231160207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00V180E91Medicare ID - Type Unspecified
VAB66165Medicare UPIN