Elois P Wampler
Individual provider Active NPI Counselor · Duffield, VA
NPI 1811035165 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811035165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 4907 Boone Trail Road
Indpendence Unlimited
Duffield, VA 24244 - Phone
- (276) 431-4473
- Fax
- (276) 431-4484
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
4907 Boone Trail Road
Indpendence Unlimited
Duffield, VA 24244
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other providers in Duffield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.