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Frederica Phoenix
NPI 1609274059 · on the registry since 2014
Practice
- Address
- 4793 Shallowford Cir
Virginia Beach, VA 23462 - Phone
- (757) 735-0976
- Organisation at this address
- Phoenix Home Healthcare Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia