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 3 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.
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 |
Popular Providers
-
Pond, Kathryn A
5818 Harbour View Blvd Ste 240, Suffolk VA 23435-3315 -
Wilkins-Bryson, Alice V.
2453 Pruden Blvd , Suffolk VA 23434-4235 -
Jackson, Pharnethia Goodman
2760 Godwin Blvd Ste 100 , Suffolk VA 23434-8501 -
Schimming, Barbara G
3920A Bridge Rd Ste 207 , Suffolk VA 23435-1118 -
Darden, Jamie L.
5849 Harbour View Blvd Ste 250 , Suffolk VA 23435-3769 -
Register, Holly G
2050 Hillpoint Blvd N , Suffolk VA 23434-7181 -
Haynes, Ruby Turner
2790 Godwin Blvd Ste 210 , Suffolk VA 23434-8172 -
Watkins, Elizabeth Ann
2000 Meade Pkwy , Suffolk VA 23434