Individual
DANIEL KEITH SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
5140 HATCHER RD, DUBLIN, VA 24084-4802
(540) 674-5260
(276) 783-2879
Mailing address
121 PINEY VIEW LN, MOUTH OF WILSON, VA 24363-3694
(276) 768-9058
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024172749
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024172749
VA
Other
Enumeration date
07/17/2015
Last updated
11/11/2015
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