Individual
BREANNA KELLY CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
127 HEALTH CARE DR, PENNINGTON GAP, VA 24277-2853
(276) 299-5000
Mailing address
127 HEALTH CARE DR, PENNINGTON GAP, VA 24277-2853
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024179089
VA
363LF0000X
Family Nurse Practitioner
Primary
27535
TN
Other
Enumeration date
07/01/2020
Last updated
02/18/2026
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