Brunet, Vicky Maddox

Brunet, Vicky Maddox is an individual health care provider with primary practice located at 3300 Rivermont Ave , Lynchburg VA 24503-2030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Brunet, Vicky Maddox can be contacted via phone (434) 200-4000.

Contact Information

Primary practice address
3300 Rivermont Ave Lynchburg VA 24503-2030
Phone: (434) 200-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 0024084339 Virginia

Profile Details

NPI number 1124209713
LBN Legal business name Brunet, Vicky Maddox
Credentials CNNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2007
Last updated Nov 24th, 2007 - about 19 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 1124209713 NPPES
Virginia Other 54740N SENTARA

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