Doctor Name: | MS. VIRGINIA LITTLE DAILEY |
NPI Number: | 1033432711 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 201837 |
Business Practice Address: | 1879 Old Highway 421 S Boone, NC - 286076293 |
Business Phone Number: | 8287733277 |
Business Fax Number: | 8282625695 |
Mailing Address: | 1879 Old Highway 421 S, BOONE |
State: | NC |
Postal Code: | 286076293 |
Phone Number: | 8287733277 |
Fax Number: | 8282625695 |
NPI Enumeration Date: | 03/09/2010 |
NPI Last Update Date: | 03/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 201837 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |