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Individual

DELLA TYREE HUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1600 LAKESIDE DR, LYNCHBURG, VA 24501-3116
(434) 713-4747
Mailing address
949 POWELL RD, LYNCH STATION, VA 24571-2465
(434) 713-4747

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
0001258486
VA
163WP0808X
Psychiatric/Mental Health Registered Nurse
0001258486
VA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
0001258486
VA

Other

Enumeration date
01/12/2023
Last updated
01/12/2023
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