Organization · Type 2 NPI
Fredericksburg Area Health and Support Services
Family Nurse Practitioner · Fredericksburg, VA
NPI number
1104170398
Active
Practice location
10514 Wakeman Dr
Fredericksburg, VA 22407-8040
Fax (833) 918-2314
Mailing address
4343 Plank Rd Ste 100
Fredericksburg, VA 22407-4807
Other practice locations
- 4343 Plank Rd Ste 110, Fredericksburg, VA 22407-4807 · (540) 907-4555
- 219 E Davis St Ste 100, Culpeper, VA 22701-3005 · (540) 907-4555
- 415 Elm St, Fredericksburg, VA 22401-3313 · (540) 907-4555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Peer Specialist | 175T00000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Public Health or Welfare Agency | 251K00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
| Adult Health Clinical Nurse Specialist | 364SA2200X | None listed |
| Family Health Clinical Nurse Specialist | 364SF0001X | None listed |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | None listed |
Family Nurse Practitioner: Definition to come...
5 other providers at this address
- Fredericksburg Area Health and Support ServicesCase Management Agency Fredericksburg, VA NPI 1053516344
- Fredericksburg Area Health and Support ServicesClinical Social Worker Fredericksburg, VA NPI 1851030274
- Lisa King MD LLCInternal Medicine Physician Fredericksburg, VA NPI 1265639892
- Ashley Nicole Tyler, FNPFamily Nurse Practitioner Fredericksburg, VA NPI 1063035632
- Lisa King, MDInternal Medicine Physician Fredericksburg, VA NPI 1699764621
Other family nurse practitioner providers in Fredericksburg
About NPI 1104170398
Fredericksburg Area Health and Support Services's National Provider Identifier is 1104170398, issued on Nov 9, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fredericksburg, VA. The record was last updated on Aug 30, 2022.