Provider Demographics
NPI:1124860713
Name:NAYLOR WILLARD, GINGER (HEATH COACH)
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:
Last Name:NAYLOR WILLARD
Suffix:
Gender:F
Credentials:HEATH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5645 5TH ST N
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-1005
Mailing Address - Country:US
Mailing Address - Phone:703-967-8396
Mailing Address - Fax:
Practice Address - Street 1:5645 5TH ST N
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-1005
Practice Address - Country:US
Practice Address - Phone:703-967-8396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No174H00000XOther Service ProvidersHealth Educator