Individual
PHILIP ISRAEL DENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7607 FOREST AVE STE 300, HENRICO, VA 23229-4913
(804) 288-2742
(804) 288-9053
Mailing address
PO BOX 742921, ATLANTA, GA 30374-2921
(804) 288-2742
(804) 288-9053
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024178056
VA
363LA2100X
Acute Care Nurse Practitioner
0024178056
VA
Other
Enumeration date
09/25/2019
Last updated
07/08/2020
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