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NPI Code Detail

MEDICARE: MRS. ALISON CHRISTINE MADDOX PMHNP-BC

MEDICARE: MRS. ALISON CHRISTINE MADDOX PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse0001240680VA
2163W00000XRegistered Nurse60729NE
3363LP0808XPsychiatric/Mental Health Nurse Practitioner0024169397VA
4367500000XCertified Registered Nurse Anesthetist0024169397VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10024169397OTHERVAVIRGINIA DEPARTMENT OF HEALTH PROFESSIONS

General Provider Information

NPI Number : 1932201381
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALISON CHRISTINE MADDOX PMHNP-BC
Provider Business Mailing Address
First Line : 5477 MOORETOWN RD
Second Line :
City : WILLIAMSBURG
State : VA
Zip : 23188-2108
Country : US
Telephone Number : 757-561-5677
Fax Number : 703-766-9725
Provider Business Practice Location Address
First Line : 5477 MOORETOWN RD
Second Line :
City : WILLIAMSBURG
State : VA
Zip : 23188-2108
Country : US
Telephone Number : 757-561-5677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2006
Last Update Date : 11/22/2024

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Directions to “ MRS. ALISON CHRISTINE MADDOX PMHNP-BC” Practice Location

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