Individual
VICKY MADDOX BRUNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-4000
Mailing address
211 HUNTINGWOOD BLVD, LYNCHBURG, VA 24503-3815
(434) 384-4550
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0024084339
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54740N
SENTARA
VA
Enumeration date
11/24/2007
Last updated
11/24/2007
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