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Erin Icenbice, PA
Medical Physician Assistant in Chesapeake, Virginia
NPI 1124137120

Erin Icenbice is a Medical Physician Assistant based in Virginia Beach, VA and is specialized in Medical. Erin Icenbice practices in Chesapeake, VA and has the professional credentials of PA. The NPI Number for Erin Icenbice is 1124137120 and holds a License No. 0110001733 (Virginia).

The current practice location address for Erin Icenbice is 736 Battlefield Blvd N, Chesapeake, VA and can be reached out via phone at 757-490-9388 and via fax at 757-490-9401. You can also correspond with Erin Icenbice through the mailing address at 4536 BONNEY RD, VIRGINIA BEACH, VA - 23462-3869 (mailing address contact number: 757-490-9388).

Location: 736 Battlefield Blvd N, Chesapeake, VA, 23462-3869
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Provider Profile Details
NPI Number
1124137120
Provider Name
Erin Icenbice
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
736 Battlefield Blvd N, Chesapeake, VA, 23462-3869
Phone Number
757-490-9388
Fax Number
757-490-9401
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00135004 01 MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
736 Battlefield Blvd N
City
State
Zip
23320-4941
Phone Number
757-490-9388
Fax Number
757-490-9401
person
Provider Business Mailing Address Details
Address
736 Battlefield Blvd N
City
State
Zip
23320-4941
Phone Number
757-490-9388
Fax Number
757-490-9401
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110001733 (Virginia)
Definition
Definition to come...
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