Healthcare Provider Details

I. General information

NPI: 1649189382
Provider Name (Legal Business Name): DR. FRISCO HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6581 PINE STRAW LN
QUINTON VA
23141-2690
US

IV. Provider business mailing address

8401 MAYLAND DR STE 11397
RICHMOND VA
23294-4648
US

V. Phone/Fax

Practice location:
  • Phone: 757-206-8503
  • Fax:
Mailing address:
  • Phone: 757-206-8503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAWNITA FRISCO
Title or Position: PRESIDENT & CEO
Credential: MD
Phone: 757-206-8503