Healthcare Provider Details

I. General information

NPI: 1265171003
Provider Name (Legal Business Name): RIKHONDA ROVEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 05/31/2022
Certification Date: 12/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 MAIN ST
WARRENTON VA
20186-3332
US

IV. Provider business mailing address

PO BOX 631
WARRENTON VA
20188-0631
US

V. Phone/Fax

Practice location:
  • Phone: 571-261-0597
  • Fax:
Mailing address:
  • Phone: 571-420-9949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024184371
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: