Individual provider · Type 1 NPI

Lanay Amberly Fonda, FNP-C

Family Nurse Practitioner · Roanoke, VA

NPI number 1366900482 Active

Practice location

1111 S Jefferson St Ste B
Roanoke, VA 24016-4724

Mailing address

PO Box 8310
Roanoke, VA 24014-0310

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024177477 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1366900482

Lanay Amberly Fonda, FNP-C's National Provider Identifier is 1366900482, issued on Mar 7, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roanoke, VA. The record was last updated on Oct 21, 2024.