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Individual
MRS. ALISON CHRISTINE MADDOX
Active
Individual
MRS. ALISON CHRISTINE MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001240680
VA
163W00000X
Registered Nurse
60729
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024169397
VA
367500000X
Certified Registered Nurse Anesthetist
0024169397
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024169397
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
09/05/2006
Last updated
11/22/2024
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