Provider Demographics
NPI:1184410615
Name:VIRGILIO, ADRAIA (LPN)
Entity type:Individual
Prefix:MS
First Name:ADRAIA
Middle Name:
Last Name:VIRGILIO
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8735 DUNWOODY PLACE
Mailing Address - Street 2:#4204
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-2995
Mailing Address - Country:US
Mailing Address - Phone:678-753-7708
Mailing Address - Fax:
Practice Address - Street 1:8735 DUNWOODY PLACE
Practice Address - Street 2:#4204
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-2995
Practice Address - Country:US
Practice Address - Phone:678-753-7708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy