Eve Hope Pendletom
Individual provider Active NPI Driver · Fredericksbrg, VA
NPI 1184149122 · NPPES record last updated Aug 10, 2017
Key facts
- NPI
- 1184149122
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- T63440736 (VA)
- Practice address
- 2717 Francis CT
Fredericksbrg, VA 22408 - Phone
- (540) 645-3247
- NPI assigned
- Aug 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T63440736 | VA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | T63440736 | VA | Yes |
Addresses
Primary practice location
2717 Francis CT
Fredericksbrg, VA 22408
Mailing address
2717 Francis CT
Fredericksbrg, VA 22408-8028
Other providers in Fredericksbrg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.