Provider Demographics
NPI:1730243734
Name:LYTTLE, DARYLNET (FNP)
Entity type:Individual
Prefix:MS
First Name:DARYLNET
Middle Name:
Last Name:LYTTLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 E TYLER ST
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23668-0001
Mailing Address - Country:US
Mailing Address - Phone:757-727-5316
Mailing Address - Fax:
Practice Address - Street 1:55 E TYLER ST
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23668-0001
Practice Address - Country:US
Practice Address - Phone:757-727-5316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024164147363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily