Organization
AERIECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA FINN FEDORCHAK CRNP (OWNER)
(410) 610-7393
Entity
Organization
Contact information
Practice address
140 REHOBOTH LN NE STE 100, FLOYD, VA 24091-1130
(410) 610-7393
(540) 745-2927
Mailing address
140 REHOBOTH LN NE STE 100, FLOYD, VA 24091-1130
(410) 610-7393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PRIVATE INUSRERS
—
05
—
PENDING
—
VA
Enumeration date
06/07/2021
Last updated
06/07/2021
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