Brummitte, Phyllis

Brummitte, Phyllis is an individual health care provider with primary practice located at 96 15Th St Nw 104, Norton VA 24273-1620. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Brummitte, Phyllis can be contacted via phone (276) 679-8890.

Contact Information

Primary practice address
96 15Th St Nw 104 Norton VA 24273-1620
Phone: (276) 679-8890
Fax: (276) 679-9740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024053074 Virginia

Profile Details

NPI number 1942306006
LBN Legal business name Brummitte, Phyllis
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Nov 21st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942306006 NPPES
Virginia MEDICAID 1942306006

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