Individual
MS. DELPHINE ANITA CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2111 TEMPLE DRIVE NW, ROANOKE, VA 24017
(540) 345-6015
Mailing address
2111 TEMPLE DRIVE NW, ROANOKE, VA 24017
(540) 345-6015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001123990
VA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
0001123990
VA
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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