Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olga Vladimirovna Wymore

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1528858859

Olga Vladimirovna Wymore is a Nurse Practitioner in Woodbridge, Virginia. Qualified in 2025, 1 year ago. Practices with Potomac Shores Mental Health and Wellness LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025

Practice location Address checks out

13000 Harbor Center Dr Ste 103
Woodbridge, VA 22192-2847
Phone: (804) 982-4370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 24193441 (VA)

Record details

NPI number1528858859
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 9, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Potomac Shores Mental Health And Wellness Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Woodbridge