Advanced Practice Adult-Gerontology

Organization Gerontology Nurse Practitioner · NPI 1194195834

Advanced Practice Adult-Gerontology provides Gerontology Nurse Practitioner services in Dublin, Virginia. Licensed in Virginia. Registered with an NPI since 2015.

Licensed in: VA
In the registry since: 2015

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Practice location Address checks out

5140 Hatcher Rd Fairview Home
Dublin, VA 24084-4802 Not confirmed with CMS for 11 years — call before visiting
Phone: (276) 431-4200

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary)	Taxonomy 363LG0600X · Licence 0017142291 (VA)

Record details

NPI number	1194195834
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Daniel Spencer — Owner · (276) 768-9058
NPI enumerated	October 6, 2015
Last updated in NPPES	October 6, 2015
Mailing address	121 Piney View Ln, Mouth Of Wilson, VA 24363-3694