Individual
ALLISON MADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1280 MAIN ST, SUITE A, ALTAVISTA, VA 24517-1465
(434) 309-1165
Mailing address
1280 MAIN ST, SUITE A, ALTAVISTA, VA 24517-1465
(434) 309-1165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172716
VA
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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