ADVANCE PRACTICE GERIATRICS AND WOUND SPECIALIST LLC NPI 1205484441

NPI Information

NPI: 1205484441
Provider Name: ADVANCE PRACTICE GERIATRICS AND WOUND SPECIALIST, LLC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
514 N MAIN ST
RURAL RETREAT, VA
ZIP 24368
Phone: (276) 783-1827
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ADVANCE PRACTICE GERIATRICS AND WOUND SPECIALIST, LLC is a gerontology nurse practitioner in Rural Retreat, VA. ADVANCE PRACTICE GERIATRICS AND WOUND SPECIALIST, LLC NPI is 1205484441. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

514 N MAIN ST
RURAL RETREAT, VA
ZIP 24368-123
Phone: (276) 783-1827

The provider's authorized official is Nancy Marshall .
The authorized official title is Owner and has the following contact phone number (276) 783-1827.

The enumeration date for this NPI number is 8/30/2019 and was last updated on 9/9/2019.

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			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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