Doctor Name: | VIRGINIA DIANE MUSSELWHITE |
NPI Number: | 1164504262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP525252 |
Business Practice Address: | 18450 Us Highway 441 Mount Dora, FL - 327576707 |
Business Phone Number: | 3523834966 |
Business Fax Number: | 3523832001 |
Mailing Address: | 2103 Stonebridge Way, CLERMONT |
State: | FL |
Postal Code: | 347116915 |
Phone Number: | 3522432725 |
Fax Number: | 3523832001 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | ARNP525252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |