Healthcare Provider Details

I. General information

NPI: 1811905615
Provider Name (Legal Business Name): CLAUDIA T PERKINS FNP, ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CLAUDIA P. FULTON

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 04/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 RISON ST SUITE 120
DANVILLE VA
24541-2425
US

IV. Provider business mailing address

PO BOX 10399
DANVILLE VA
24543-5007
US

V. Phone/Fax

Practice location:
  • Phone: 434-792-3730
  • Fax: 434-792-6048
Mailing address:
  • Phone: 434-792-3730
  • Fax: 434-797-4150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024077838
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0017000878
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: