Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0024181156 | VA |
N | 207Q00000X | Family Doctor | F1200175 | VA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | F1200175 | VA |
NPI | 1558964262 |
---|---|
Provider Name | Miss Michelle Hope Conover |
First Address | Weyers Cave, VA 24486-2347 |
Second Address | Midlothian, VA 23112-4807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2020 |
Last Update Date | 01/09/2021 |