Provider Demographics
NPI:1801981337
Name:HUNDLEY, WINDY SAUNDERS (NP-C)
Entity type:Individual
Prefix:MS
First Name:WINDY
Middle Name:SAUNDERS
Last Name:HUNDLEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:WINDY
Other - Middle Name:SAUNDERS
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5821 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:VA
Mailing Address - Zip Code:24084-5926
Mailing Address - Country:US
Mailing Address - Phone:540-980-0550
Mailing Address - Fax:540-980-9141
Practice Address - Street 1:101 1ST STREET NW
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:VA
Practice Address - Zip Code:24301
Practice Address - Country:US
Practice Address - Phone:540-980-0550
Practice Address - Fax:540-980-9141
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166165363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010109604Medicaid
VAQ35173Medicare UPIN
VA010109604Medicaid