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NPI Code Detail

MEDICARE: HEATHER COLLEEN FRISBY CPNP

MEDICARE: HEATHER COLLEEN FRISBY CPNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner0024188988VA

General Provider Information

NPI Number : 1417725805
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER COLLEEN FRISBY CPNP
Provider Business Mailing Address
First Line : 3173 CHANNEL BASS LN
Second Line :
City : MACHIPONGO
State : VA
Zip : 23405-2217
Country : US
Telephone Number : 757-710-3161
Fax Number :
Provider Business Practice Location Address
First Line : 20280 MARKET ST
Second Line :
City : ONANCOCK
State : VA
Zip : 23417-1331
Country : US
Telephone Number : 757-414-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2023
Last Update Date : 12/14/2023

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Directions to “ HEATHER COLLEEN FRISBY CPNP” Practice Location

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