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MRS. ALISON CHRISTINE MADDOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
5477 MOORETOWN RD, WILLIAMSBURG, VA 23188-2108
(757) 561-5677
Mailing address
5477 MOORETOWN RD, WILLIAMSBURG, VA 23188-2108
(757) 561-5677
(703) 766-9725

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001240680
VA
163W00000X
Registered Nurse
60729
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024169397
VA
367500000X
Certified Registered Nurse Anesthetist
0024169397
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024169397
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
09/05/2006
Last updated
11/22/2024
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