Search › Virginia › 363L00000X
Amanda Street
NPI 1649767773 · on the registry since 2018
Practice
- Address
- 15195 Heathcote Blvd
Haymarket, VA 20169 - Phone
- (571) 261-3529
- Fax
- (703) 361-1811
- Organisation at this address
- Orthovirginia, Inc
Nmg Affiliate Practice I, Llc
Nmg Affiliate Practice I, Llc
Haymarket Surgery Center, Llc
Uva Community Health Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363L00000X
- Licence states on file
- NC, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia