Organization · Type 2 NPI

Paladin Dermatology LLC

Nurse Practitioner · Petersburg, VA

NPI number 1225417082 Active

Practice location

44 A& B Medical Park Blvd
Petersburg, VA 23805

Mailing address

1801 Libbie Ave Ste 204
Richmond, VA 23226-1836

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0024164803 (VA)

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…

About NPI 1225417082

Paladin Dermatology LLC's National Provider Identifier is 1225417082, issued on May 27, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Petersburg, VA. The record was last updated on Oct 27, 2015.