OrganizationActive
Alliance Family Practice, PC
NPI 1457378804 · Adult Health Nurse Practitioner · Petersburg, VA
Provider details
- NPI number
- 1457378804
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Alfreda Booker, Billing Manager(804) 323-5575
- License
- 0024131004 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3333 S Crater Rd
Suite 3a
Petersburg, VA 23805-9276
Phone: (804) 733-3438
Fax: (804) 733-7424
Approximate (ZIP-level) locationGet directions
Mailing address
3333 S Crater Rd
Petersburg, VA 23805-9276
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2007-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.