| Doctor Name: | RODELINE COMPERE DALGE |
| NPI Number: | 1316356728 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0024171862 |
| Business Practice Address: | 12825 Minnieville Rd Suite 202 Lake Ridge, VA - 221923601 |
| Business Phone Number: | 7037802800 |
| Business Fax Number: | 7037800461 |
| Mailing Address: | 7764 Armistead Rd, Suite 240 LORTON |
| State: | VA |
| Postal Code: | 220791919 |
| Phone Number: | 7033393806 |
| Fax Number: | 7033721993 |
| NPI Enumeration Date: | 08/11/2014 |
| NPI Last Update Date: | 08/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 0024171862 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |