Ketty M Spain in South Hill - Nurse Practitioner
Ketty M Spain - NPI 1427225846
Ketty M Spain is a Nurse Practitioner in South Hill, Virginia. Ketty M Spain practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Ketty M Spain is 1427225846. The last update date is 2017-01-13.
Ketty M Spain's current location address is 514 W Atlantic St, South Hill, Virginia. You can contact this provider via phone number 4345842000 and fax number 4344472240. The mailing address for Ketty M Spain is 514 W Atlantic St, South Hill, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ketty M Spain |
|---|---|
| Address | 514 W Atlantic St, South Hill, Virginia |
| Phone Number | 4345842000 |
| Fax Number | 4344472240 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1427225846 |
|---|---|
| Provider Enumeration Date | 2008-05-14 |
| Last Updated Date | 2017-01-13 |
Provider Mailing Address Detail
| Address | 514 W Atlantic St |
|---|---|
| City | South Hill |
| State | Virginia (VA) |
| Post Code | 239701906 |
| Phone Number | 4345842000 |
| Fax Number | 4344472240 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 24167836 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1427225846 | VA | -- |
Post Comment/ Review Below
What is the Ketty M Spain's 1427225846?
The Ketty M Spain's NPI (National Provider Identifier) Number is 1427225846. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ketty M Spain's facilities are situated?
The facilities of Ketty M Spain are physically located at the following address: 514 W Atlantic St, South Hill, VA, 239701906.
What is Ketty M Spain's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ketty M Spain is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1427225846 to Ketty M Spain?
The Centers for Medicare & Medicaid Services assigned the 1427225846 to Ketty M Spain on 2008-05-14.
When was the information related to Ketty M Spain most recently updated or refreshed?
The details pertaining to the Ketty M Spain, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-01-13.