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Fortunata S Condecido, FNP-BC
Family Nurse Practitioner in South Hill, Virginia
NPI 1730487299

Fortunata S Condecido is a Family Nurse Practitioner based in South Hill, VA and is specialized in Family. Fortunata S Condecido practices in South Hill, VA and has the professional credentials of FNP-BC. The NPI Number for Fortunata S Condecido is 1730487299 and holds a License No. 0024169248 (Virginia).

The current practice location address for Fortunata S Condecido is 514 W Atlantic St, South Hill, VA and can be reached out via phone at 434-584-2000 and via fax at 434-447-2240.

Location: 514 W Atlantic St, South Hill, VA, 23970-1906
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Provider Profile Details
NPI Number
1730487299
Provider Name
Fortunata S Condecido
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
514 W Atlantic St, South Hill, VA, 23970-1906
Phone Number
434-584-2000
Fax Number
434-447-2240
Provider Enumeration Date
03/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1730487299 05 VA
1730487299 01 VA NPI
540551711 01 VA EMPLOYER
542019967 01 VA EMPLOYER
institution
Provider Business Practice Location Address Details
Address
514 W Atlantic St
City
State
Zip
23970-1906
Phone Number
434-584-2000
Fax Number
434-447-2240
person
Provider Business Mailing Address Details
Address
514 W Atlantic St
City
State
Zip
23970-1906
Phone Number
434-584-2000
Fax Number
434-447-2240
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0024169248 (Virginia)
Definition
Definition to come...
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