Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 0024165960 | VA |
NPI | 1003027186 |
---|---|
Provider Name | Denise Ann Griffin Spigle |
First Address | Manakin Sabot, VA 23103-2168 |
Second Address | Glen Allen, VA 23059-5502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 15/06/2016 |