Provider Demographics
NPI:1780289819
Name:MCPHEE, NATASHA NICOLE
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:NICOLE
Last Name:MCPHEE
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 1:840 BERRYVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-5914
Mailing Address - Country:US
Mailing Address - Phone:540-667-9737
Mailing Address - Fax:540-545-8764
Practice Address - Street 1:840 BERRYVILLE AVE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-5914
Practice Address - Country:US
Practice Address - Phone:540-667-9737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202213222183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist