Individual
MRS. ALYSIA ERIN PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2977
Mailing address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2977
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
0001187820
VA
363LF0000X
Family Nurse Practitioner
Primary
0024168212
VA
Other
Enumeration date
02/16/2009
Last updated
03/24/2011
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