Individual
MS. DAPHNE ELIZABETH DAMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
21 HIGHLAND AVE SE, SUITE 100, ROANOKE, VA 24013-2201
(540) 855-9177
(540) 855-9178
Mailing address
21 HIGHLAND AVE SE, SUITE 100, ROANOKE, VA 24013-2201
(540) 855-9177
(540) 855-9178
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024166920
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750412060
—
VA
Enumeration date
03/08/2007
Last updated
11/06/2020
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