Organization
GOLDEN OASIS HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FACHECIA FORT DNP, CRNP (NURSE PRACTITIONER)
(336) 259-2865
Entity
Organization
Contact information
Practice address
37734 BROWNS WAY, MECHANICSVILLE, MD 20659-4630
(336) 259-2865
Mailing address
37734 BROWNS WAY, MECHANICSVILLE, MD 20659-4630
(336) 259-2865
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/02/2024
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