Healthcare Provider Details

I. General information

NPI: 1417725805
Provider Name (Legal Business Name): HEATHER COLLEEN FRISBY CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER COLLEEN MONTE

II. Dates (important events)

Enumeration Date: 12/14/2023
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20306 BADGER LN
ONLEY VA
23418-2001
US

IV. Provider business mailing address

20280 MARKET ST
ONANCOCK VA
23417-1331
US

V. Phone/Fax

Practice location:
  • Phone: 757-414-0400
  • Fax: 757-414-0569
Mailing address:
  • Phone: 757-414-0400
  • Fax: 757-414-0569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number0024188988
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: