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Organization

ALLIANCE FAMILY PRACTICE, PC

Active
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Organization

ALLIANCE FAMILY PRACTICE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALFREDA BOOKER (BILLING MANAGER)
(804) 323-5575
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024131004
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024131004
STATE ID
VA
Enumeration date
07/15/2006
Last updated
08/08/2007
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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