person
Edith Diane Medley, NURSEPRACTITIONER
Family Nurse Practitioner in Suffolk, Virginia
NPI 1891995205

Edith Diane Medley is a Family Nurse Practitioner based in Suffolk, VA and is specialized in Family. Edith Diane Medley practices in Suffolk, VA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Edith Diane Medley is 1891995205 and holds a License No. 0024093905 (Virginia).

The current practice location address for Edith Diane Medley is 5103 Tanglewood Ct, Suffolk, VA and can be reached out via phone at 757-638-1320 and via fax at 757-638-1039. You can also correspond with Edith Diane Medley through the mailing address at 5103 TANGLEWOOD CT, SUFFOLK, VA - 23435-2637 (mailing address contact number: 757-638-1320).

Location: 5103 Tanglewood Ct, Suffolk, VA, 23435-2637
person
Provider Profile Details
NPI Number
1891995205
Provider Name
Edith Diane Medley
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
5103 Tanglewood Ct, Suffolk, VA, 23435-2637
Phone Number
757-638-1320
Fax Number
757-638-1039
Provider Enumeration Date
07/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0001093905 01 VA REGISTERED NURSE
0024093905 01 VA NURSE PRACTITIONER
0017000287 01 VA AUTHORIZATION TO PRESCRI
institution
Provider Business Practice Location Address Details
Address
5103 Tanglewood Ct
City
State
Zip
23435-2637
Phone Number
757-638-1320
Fax Number
757-638-1039
person
Provider Business Mailing Address Details
Address
5103 Tanglewood Ct
City
State
Zip
23435-2637
Phone Number
757-638-1320
Fax Number
757-638-1039
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0024093905 (Virginia)
Definition
Definition to come...
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