Endahl, Mary J

Endahl, Mary J is an individual health care provider with primary practice located at 2955 Ivy Rd Ste 304 , Charlottesville VA 22903-9353. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Endahl, Mary J can be contacted via phone (434) 243-4570.

Contact Information

Primary practice address
2955 Ivy Rd Ste 304 Charlottesville VA 22903-9353
Phone: (434) 243-4570
Fax: (434) 295-5491
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0024173448 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP60753690 Washington
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0024173448 Virginia

Profile Details

NPI number 1659732600
LBN Legal business name Endahl, Mary J
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2016
Last updated Feb 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659732600 NPPES
Washington MEDICAID 2081868

Popular Providers