Individual
DOROTHY ANNE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
8260 ATLEE RD, EMERGENCY DEPT, MECHANICSVILLE, VA 23116-1844
(804) 764-6300
(804) 764-6562
Mailing address
38935 ANN ARBOR RD, CREDENTIALING DEPT, LIVONIA, MI 48150-3397
(734) 805-0488
(866) 250-6385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024168889
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024168889
VA
Other
Enumeration date
08/06/2010
Last updated
01/10/2014
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