Individual
MICHELLE REID FRICKANISCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13478 CARROLLTON BLVD, UNITS D & E, CARROLLTON, VA 23314-3208
(757) 238-7043
(757) 238-7052
Mailing address
856 J CLYDE MORRIS BLVD STE A, RIVERSIDE MEDICAL GROUP, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170786
VA
Other
Enumeration date
04/18/2013
Last updated
01/25/2017
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