Individual
PHYLLIS BRUMMITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
96 15TH ST NW, 104, NORTON, VA 24273-1620
(276) 679-8890
(276) 679-9740
Mailing address
PO BOX 5127, JOHNSON CITY, TN 37602-5127
(866) 397-1439
(423) 262-1373
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024053074
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942306006
—
VA
Enumeration date
09/16/2006
Last updated
11/21/2012
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