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Phoenixmides Llc
Psychiatric/Mental Health Nurse Practitioner in Petersburg, Virginia
NPI 1023896586

Phoenixmides Llc is a Psychiatric/Mental Health Nurse Practitioner based in Moseley, VA and is specialized in Psychiatric/Mental Health. Phoenixmides Llc practices in Petersburg, VA. The NPI Number for Phoenixmides Llc is 1023896586 and holds a License No. (Virginia).

The current practice location address for Phoenixmides Llc is 591 Oakwood Cir, Petersburg, VA and can be reached out via phone at 540-204-2459.

Location: 591 Oakwood Cir, Petersburg, VA, 23120-2339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023896586
Provider Name
Phoenixmides Llc
Credential
Provider Entity Type
Organization
Address
591 Oakwood Cir, Petersburg, VA, 23120-2339
Phone Number
540-204-2459
Fax Number
Provider Enumeration Date
09/18/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
591 Oakwood Cir
City
Petersburg
State
Virginia
Zip
23805-9339
Phone Number
540-204-2459
Fax Number
person
Provider Business Mailing Address Details
Address
591 Oakwood Cir
City
Petersburg
State
Virginia
Zip
23805-9339
Phone Number
540-204-2459
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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