IndividualActive
Alice Iwu, PA
NPI 1194942474 · Medical Physician Assistant · Fredericksburg, VA
Provider details
- NPI number
- 1194942474
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 010413-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1101 Sam Perry Blvd
Suite 207
Fredericksburg, VA 22401-4467
Phone: (540) 374-3200
Fax: (540) 374-3210
Approximate (ZIP-level) locationGet directions
Mailing address
1101 Sam Perry Blvd
Fredericksburg, VA 22401-4467
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2009-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.