Individual
COREY ROBERT FRASCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SRNA, RN
Contact information
Practice address
1201 E MARSHALL ST, RICHMOND, VA 23298-5026
(804) 828-7929
Mailing address
468 PINE TREE POINT DR, HEATHSVILLE, VA 22473-2608
(804) 405-9181
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001284981
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024192702
VA
Other
Enumeration date
01/31/2023
Last updated
03/05/2025
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