National Provider Identifier Database

PALADIN DERMATOLOGY LLC
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

PALADIN DERMATOLOGY LLC
44 A& B MEDICAL PARK BLVD
PETERSBURG, VA23805
Phone: 804-648-4802
Fax:
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X

* Indicates primary specialty

NPI Profile & details for PALADIN DERMATOLOGY LLC

NPI Number 1225417082
Legal business name
LBN
PALADIN DERMATOLOGY LLC
Authorized official JOE HERNANDEZ - (MANAGING OFFICIAL)
Entity Organization
Organization subpart No
Enumeration date 05/27/2015
Last updated 10/27/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0024164803

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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