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Mrs. Lanay Amberly Fonda, FNP-C
Family Nurse Practitioner in Roanoke, Virginia
NPI 1366900482

Lanay Amberly Fonda is a Family Nurse Practitioner based in Roanoke, VA and is specialized in Family. Lanay Amberly Fonda practices in Roanoke, VA and has the professional credentials of FNP-C. The NPI Number for Lanay Amberly Fonda is 1366900482 and holds a License No. 0024177477 (Virginia).

The current practice location address for Lanay Amberly Fonda is 1111 S Jefferson St Ste B, Roanoke, VA and can be reached out via phone at 540-769-3964.

Location: 1111 S Jefferson St Ste B, Roanoke, VA, 24014-0310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366900482
Provider Name
Lanay Amberly Fonda
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1111 S Jefferson St Ste B, Roanoke, VA, 24014-0310
Phone Number
540-769-3964
Fax Number
Provider Enumeration Date
03/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1111 S Jefferson St Ste B
City
Roanoke
State
Virginia
Zip
24016-4724
Phone Number
540-769-3964
Fax Number
person
Provider Business Mailing Address Details
Address
1111 S Jefferson St Ste B
City
Roanoke
State
Virginia
Zip
24016-4724
Phone Number
540-769-3964
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0024177477 (Virginia)
Definition
Definition to come...
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