Organization
ADVANCE PRACTICE GERIATRICS AND WOUND SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY MARSHALL NP (OWNER)
(276) 783-1827
Entity
Organization
Contact information
Practice address
514 N MAIN ST, RURAL RETREAT, VA 24368-3123
(276) 783-1827
Mailing address
1048 TERRACE DR, MARION, VA 24354-4138
(276) 783-1827
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
09/09/2019
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