Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Practice Adult-Gerontology

Organization Gerontology Nurse Practitioner · NPI 1194195834

Advanced Practice Adult-Gerontology is a Gerontology Nurse Practitioner in Dublin, Virginia. Licensed in Virginia. Registered with an NPI since 2015.

Licensed in
VA
In the registry since
2015

Practice location Address checks out

5140 Hatcher Rd Fairview Home
Dublin, VA 24084-4802
Phone: (276) 431-4200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 0017142291 (VA)

Record details

NPI number1194195834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Spencer — Owner · (276) 768-9058
NPI enumeratedOctober 6, 2015
Last updated in NPPESOctober 6, 2015
Mailing address121 Piney View Ln, Mouth Of Wilson, VA 24363-3694