ADVANCED PRACTICE ADULT-GERONTOLOGY NPI 1194195834

NPI Information

NPI: 1194195834
Provider Name: ADVANCED PRACTICE ADULT-GERONTOLOGY
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
5140 HATCHER RD
FAIRVIEW HOME
DUBLIN, VA
ZIP 24084
Phone: (276) 431-4200
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ADVANCED PRACTICE ADULT-GERONTOLOGY is a gerontology nurse practitioner in Dublin, VA. ADVANCED PRACTICE ADULT-GERONTOLOGY NPI is 1194195834. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5140 HATCHER RD
FAIRVIEW HOME
DUBLIN, VA
ZIP 24084-802
Phone: (276) 431-4200

The provider's authorized official is Daniel K Spencer .
The authorized official title is Owner and has the following contact phone number (276) 768-9058.

The enumeration date for this NPI number is 10/6/2015 and was last updated on 10/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	0017142291	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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