Individual
MS. SIDENIA SURRATT TRIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
70 MEDICAL CENTER DRIVE, SUITE 302, FISHERSVILLE, VA 22939
(540) 221-7058
Mailing address
810 BRALEY POND RD, WEST AUGUSTA, VA 24485-2007
(540) 337-6330
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024164211
VA
Other
Enumeration date
06/30/2006
Last updated
03/13/2013
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