Provider Demographics
NPI:1598703092
Name:DALTON, VIRGINIA M (APRN BC)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:M
Last Name:DALTON
Suffix:
Gender:F
Credentials:APRN BC
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Mailing Address - Street 1:27 IRON GATE DR
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-1234
Mailing Address - Country:US
Mailing Address - Phone:978-475-6267
Mailing Address - Fax:
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:DANA FARBER CANCER INSTITUTE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-632-3475
Practice Address - Fax:617-632-6665
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2011-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA149297363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily