Individual
ERIN ICENBICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE REGIONAL MEDICAL CENTER, CHESAPEAKE, VA 23320-4941
(757) 312-6128
(757) 312-6181
Mailing address
109 GAINSBOROUGH SQ, STE G PMB 723, CHESAPEAKE, VA 23320-1707
(757) 490-9388
(757) 301-0945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001733
VA
363AM0700X
Medical Physician Assistant
0110001733
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00135004
MEDICARE RAILROAD
—
Enumeration date
08/30/2006
Last updated
06/16/2026
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