NPI 1053684332 · live from the CMS NPI Registry
Samantha G Addison, NP
Nurse Practitioner, Family in Norton, VA. National Provider Identifier 1053684332, active.
NPI record
| NPI | 1053684332 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 280 Virginia Ave Ne, Suite 107, Norton, VA 24273 |
| Practice phone | 276-679-5390 |
| Mailing address | 1021 W Oakland Ave Ste 310, Johnson City, TN 37604 |
| Enumerated | February 16, 2012 |
| Last updated | May 15, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 0024169884 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.