Organization · Type 2 NPI
Providence Medical LLC
Family Nurse Practitioner · Fredericksburg, VA
NPI number
1831056191
Active
Practice location
150 Riverside Pkwy Ste 115 Pmb 5560
Fredericksburg, VA 22406-1094
Mailing address
150 Riverside Pkwy Ste 115
Fredericksburg, VA 22406-1094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Fredericksburg
About NPI 1831056191
Providence Medical LLC's National Provider Identifier is 1831056191, issued on Jan 8, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fredericksburg, VA. The record was last updated on Jan 14, 2026.