Healthcare Provider Details

I. General information

NPI: 1508728098
Provider Name (Legal Business Name): ALICIA DAWN HUNTINGTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4433 SHEPHERDS RD
PARTLOW VA
22534-9511
US

IV. Provider business mailing address

4433 SHEPHERDS RD
PARTLOW VA
22534-9511
US

V. Phone/Fax

Practice location:
  • Phone: 540-809-6913
  • Fax:
Mailing address:
  • Phone: 540-809-6913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024195538
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: