Medley, Edith Diane
Medley, Edith Diane is an sole proprietor health care provider with primary practice located at 5103 Tanglewood Ct Na, Suffolk VA 23435-2637. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Medley, Edith Diane can be contacted via phone (757) 638-1320.Contact Information
Primary practice address
5103 Tanglewood Ct Na
Suffolk VA 23435-2637
Phone: (757) 638-1320
Fax: (757) 638-1039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024093905 | Virginia |
Profile Details
| NPI number | 1891995205 |
|---|---|
| LBN Legal business name | Medley, Edith Diane |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891995205 | NPPES |
| Virginia | Other | 0001093905 | REGISTERED NURSE |
| Virginia | Other | 0024093905 | REGISTERED NURSE |
| Virginia | Other | 0017000287 | REGISTERED NURSE |
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