Individual
DR. DANIELLE COMBS LIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2875 BARN RD, CHRISTIANSBURG, VA 24073-6389
(540) 731-4578
(540) 731-3061
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001251500
VA
363LF0000X
Family Nurse Practitioner
Primary
0024187192
VA
Other
Enumeration date
03/28/2023
Last updated
06/09/2023
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