MRS. EUGENIA DANYELLE PRIVETT


Address: 1995 West Ridge Road, Wytheville, VA 24382
Phone: 2762231983

MRS. EUGENIA DANYELLE PRIVETT (NPI# 1780645184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780645184
Entity Type Individual
Full Name MRS. EUGENIA DANYELLE PRIVETT
Credential PAC
Practice Address 1995 West Ridge Road
Wytheville
VA 24382
Practice Telephone 2762231983
Practice Fax Number 2762231316
Mailing Telephone 2762231983
Mailing Fax Number 2762231316
Enumeration Date 2006-03-28
Last Update Date 2016-05-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0110001464 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 10011302 05

Office Location

Street Address 1995 WEST RIDGE ROAD
City WYTHEVILLE
State VA
Zip Code 24382

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710016001 N Paul Morin II Md PC Physical Therapist 1995 West Ridge Road, Wytheville, VA 24382 2007-03-05
1346314846 Susan Nadine Earles Physical Therapist 1995 West Ridge Road, Wytheville, VA 24382 2006-11-17
1972677474 Benny Ray Haga Nurse Practitioner 1995 West Ridge Road, Wytheville, VA 24382 2006-11-17
1144394644 Norman Paul Morin II Orthopaedic Surgery 1995 West Ridge Road, Wytheville, VA 24382 2006-11-17
1215001714 N Paul Morin II Md PC Clinic/Center 1995 West Ridge Road, Wytheville, VA 24382 2006-11-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538709118 Pt Solutions LLC Physical Therapist 1050 Holston Road, Wytheville, VA 24382 2020-01-10
1881233377 Amie S Newberry Physical Therapist 1050 Holston Rd, Wytheville, VA 24382 2019-12-31
1174160618 Erin Leigh Dejesus Family Medicine 375 W Ridge Rd, Wytheville, VA 24382 2019-12-03
1629639497 Family Preservatrion Services, Inc. Community/Behavioral Health 425 Grayson Presbyterian Road, Wytheville, VA 24382 2019-06-24
1023527926 Emily Kingrey Occupational Therapist 800 E Main St., Suite 310, Wytheville, VA 24382 2017-09-22
1184149247 Linda Huber Driver 610 E Washington St, Wytheville, VA 24382 2017-08-10
1578987558 Family Preservation Services, Inc Community/Behavioral Health 695 East Marshall Street, Wytheville, VA 24382 2014-02-11
1255774121 Forest Pharmacy Inc Pharmacy 1787 W Lee Highway, Suite B, Wytheville, VA 24382 2013-04-10
1447500400 Guardian Pharmacy of Virginia LLC Pharmacy 860 Stafford Umberger Dr, Wytheville, VA 24382 2012-09-17
1669604385 Catherine Elizabeth Russell Physical Therapist 710 West Ridge Rd, Suites E & F, Wytheville, VA 24382 2009-08-13
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1295356145 Nilofar Ariasaif Physician Assistant 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 2020-05-01
1396366555 Sheelon Aghili Physician Assistant 5801 Hampton Forest Way, Fairfax, VA 22030-7254 2020-04-29
1679102347 Mary Herrera Physician Assistant 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 2020-04-05
1720614019 Andrew James Meyers Physician Assistant 229 W Bute St Apt 207, Norfolk, VA 23510-1415 2020-03-18
1902432644 Madison Alexis Cooper Physician Assistant 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 2020-03-13
1285296111 Kimberly Stewart Hugo Physician Assistant 10932 Point Grey Road, Henrico, VA 23233-2429 2019-07-01
1558824698 Jessica Leigh Pacuch Physician Assistant 2440 Raphine Rd, Raphine, VA 24472-2541 2019-04-06
1073074431 Nicholas Alexander Jones Physician Assistant 924 Parley Pl, Chesapeake, VA 23323-4135 2019-03-28
1003371410 Ryan Timothy Pyles Physician Assistant 25 Commerce Park Drive, Raphine, VA 24472 2019-02-11
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Competitor

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City WYTHEVILLE
Zip Code 24382

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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