PALADIN DERMATOLOGY LLC
NPI 1225417082
Nurse Practitioner in Petersburg, VA

Q: What is Paladin Dermatology LLC's NPI number?

The NPI number for Paladin Dermatology LLC is 1225417082. It was assigned to this organization in the NPPES registry on May 27, 2015.

Q: What is Paladin Dermatology LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 27, 2015

44 A& B MEDICAL PARK BLVD, PETERSBURG, VA 23805(804) 648-4802 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Paladin Dermatology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALADIN DERMATOLOGY LLC (NPI 1225417082) is a healthcare organization registered as a nurse practitioner in Petersburg, Virginia and active in the NPI registry since May 2015. The organization lists Joe Hernandez, Managing Official, as its authorized official.

NPPES Registry Identity

NPI1225417082

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePALADIN DERMATOLOGY LLC

Location Address44 A& B MEDICAL PARK BLVDPetersburg, VA 23805

Mailing Address1801 Libbie Ave Ste 204Richmond, VA 23226-1836

Phone(804) 648-4802

Organization SubpartNo

Authorized OfficialJoe HernandezManaging Official · (804) 648-4802

Enumeration DateMay 27, 2015

Last NPPES UpdateOctober 27, 2015

✔ NPI 1225417082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in VA · 0024164803

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

44 A& B MEDICAL PARK BLVD, Petersburg, VA 23805

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paladin Dermatology LLC's NPI number?

The NPI number for Paladin Dermatology LLC is 1225417082. It was assigned to this organization in the NPPES registry on May 27, 2015.

Where is Paladin Dermatology LLC located?

Paladin Dermatology LLC is located at 44 A& B Medical Park Blvd, Petersburg, VA 23805. The listed phone number is (804) 648-4802.

What is Paladin Dermatology LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Paladin Dermatology LLC was last updated on October 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.