Individual
OLIVIA REICHENBACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMNHP-BC
Contact information
Practice address
2624 SOUTHERN BLVD STE 102, VIRGINIA BEACH, VA 23452-7433
(757) 453-1256
(319) 359-3813
Mailing address
819 W 21ST ST # 101, NORFOLK, VA 23517-1539
(757) 828-3816
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024174525
VA
Other
Enumeration date
02/08/2017
Last updated
03/13/2023
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