Provider Demographics
NPI:1811905615
Name:PERKINS, CLAUDIA T (FNP, ACNP)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:T
Last Name:PERKINS
Suffix:
Gender:F
Credentials:FNP, ACNP
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:P
Other - Last Name:FULTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 10399
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24543-5007
Mailing Address - Country:US
Mailing Address - Phone:434-792-3730
Mailing Address - Fax:434-797-4150
Practice Address - Street 1:501 RISON ST
Practice Address - Street 2:SUITE 120
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-2425
Practice Address - Country:US
Practice Address - Phone:434-792-3730
Practice Address - Fax:434-792-6048
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024077838363LA2100X
VA0017000878363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10011479NOtherSENTARA
VA010395763Medicaid
VA10011479NOtherSENTARA