Individual
LOUISE ALICE PESNICAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LNP
Contact information
Practice address
297 INDEPENDENCE BLVD STE 126, VIRGINIA BEACH, VA 23462-2836
(757) 437-6160
Mailing address
557 CANTERBURY RD, VIRGINIA BEACH, VA 23452-7001
(757) 340-4545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024164614
VA
Other
Enumeration date
10/24/2006
Last updated
07/09/2007
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