Organization · Type 2 NPI
Advanced Practice Adult-Gerontology
Gerontology Nurse Practitioner · Dublin, VA
NPI number
1194195834
Active
Practice location
5140 Hatcher Rd, Fairview Home
Dublin, VA 24084-4802
Mailing address
121 Piney View Ln
Mouth Of Wilson, VA 24363-3694
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 0017142291 (VA) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1194195834
Advanced Practice Adult-Gerontology's National Provider Identifier is 1194195834, issued on Oct 6, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Dublin, VA. The record was last updated on Oct 6, 2015.