Nurse Practitioner, Gerontology
ADVANCED PRACTICE ADULT-GERONTOLOGY
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1194195834 · enumerated 2015-10-06 · record updated 2015-10-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DANIEL SPENCER MSN,AGPCP,BC, owner · (276) 768-9058
Addresses and phones
- Mailing address 121 PINEY VIEW LN, MOUTH OF WILSON, VA, 24363-3694 (276) 768-9058 Fax (276) 783-2879 Google Maps Apple Maps OpenStreetMap
- Practice location 5140 HATCHER RD, FAIRVIEW HOME, DUBLIN, VA, 24084-4802 (276) 431-4200 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Gerontology 363LG0600X · Primary · License 0017142291 VA
In this directory
Locations and evidence
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Practice location
DUBLIN, VA, 240844802
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.