Individual
MARYKATE O DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908
(434) 924-2335
(434) 982-0796
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0024177355
VA
Other
Enumeration date
09/30/2018
Last updated
09/30/2019
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