Individual provider · Type 1 NPI

Latasha Ann-Pegram Dunford, AGACNP-BC

Acute Care Nurse Practitioner · Charlottesville, VA

NPI number 1720505019 Active

Practice location

500 Ray C Hunt Dr Fl 3
Charlottesville, VA 22903-2981

Fax (434) 982-3652

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Specialties and licenses

TaxonomyCodeLicense
Urology Physician 208800000X0024175048 (VA)
Acute Care Nurse Practitioner Primary 363LA2100X0024175048 (VA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1720505019

Latasha Ann-Pegram Dunford, AGACNP-BC's National Provider Identifier is 1720505019, issued on Aug 28, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Charlottesville, VA. The record was last updated on Mar 8, 2019.