Organization · Type 2 NPI

Fancy Gap Internal Medicine

Nurse Practitioner · Fancy Gap, VA

NPI number 1043049828 Active

Practice location

1661 Turner Spur Rd
Fancy Gap, VA 24328-4365

Fax (866) 464-0644

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

3 other providers at this address

About NPI 1043049828

Fancy Gap Internal Medicine's National Provider Identifier is 1043049828, issued on Jul 30, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fancy Gap, VA. The record was last updated on Jul 30, 2024.