Advanced Practice Adult-Gerontology

NPI #1194195834 in Dublin, Virginia

Provider Information

NPI Number
1194195834
Entity Type
Organization
Organization Name
Advanced Practice Adult-Gerontology
Primary Specialty
Nurse Practitioner - Gerontology
Enumeration Date
Oct 6, 2015
Last Updated
Oct 6, 2015

Practice Location

Address
5140 HATCHER RD
Address 2
FAIRVIEW HOME
City
Dublin
ZIP Code
24084-4802
Phone
(276) 431-4200

Authorized Official

Name
DANIEL K SPENCER, MSN,AGPCP,BC
Title
OWNER
Phone
(276) 768-9058

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - GerontologyGerontology

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