# ALLIANCE FAMILY PRACTICE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457378804
- **Authorized official:** MRS. ALFREDA BOOKER (BILLING MANAGER)
- **Authorized official phone:** (804) 323-5575

## Contact information

- **Practice address:** 3333 S CRATER RD, SUITE 3A, PETERSBURG, VA 23805-9276
- **Practice address phone:** (804) 733-3438
- **Practice address fax:** (804) 733-7424
- **Mailing address:** 3333 S CRATER RD, SUITE 3A, PETERSBURG, VA 23805-9276
- **Mailing address phone:** (804) 733-3438
- **Mailing address fax:** (804) 733-7424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 0024131004 | VA | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 08/08/2007