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Contact Information

ADVANCE PRACTICE GERIATRICS AND WOUND SPECIALIST, LLC
514 N MAIN ST
RURAL RETREAT, VA24368-3123
 Phone: 276-783-1827
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADVANCE PRACTICE GERIATRICS AND WOUND SPECIALIST, LLC

NPI Number 1205484441
LBN Legal business name ADVANCE PRACTICE GERIATRICS AND WOUND SPECIALIST, LLC
Authorized official NANCY MARSHALL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2019
Last updated 09/09/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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