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Individual provider Active NPI Family Nurse Practitioner · Waverly, VA
NPI 1932672763 · NPPES record last updated Jan 3, 2019
Key facts
- NPI
- 1932672763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024175268 (VA)
- Practice address
- 24427 Mussellwhite Dr
Waverly, VA 23891-2222 - Phone
- (804) 834-2678
- NPI assigned
- Jan 3, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024175268 | VA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024175268 | VA | Yes |
Addresses
Primary practice location
24427 Mussellwhite Dr
Waverly, VA 23891-2222
Mailing address
24427 Mussellwhite Dr
Waverly, VA 23891-2222
Phone (804) 834-2678
Other providers in Waverly, VA
- Alvin Bradley
- George Coleman
- Heather Nicole Darden
- Jillian Grizzard Fajna
- Horizon Health Services Inc
All providers in Waverly, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2019. 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.