Provider Demographics
NPI:1104399088
Name:REMINES, FRANCES LORETTA
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:LORETTA
Last Name:REMINES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 BEN BOW RD
Mailing Address - Street 2:
Mailing Address - City:TAZEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:24651-9190
Mailing Address - Country:US
Mailing Address - Phone:276-988-0114
Mailing Address - Fax:276-979-5567
Practice Address - Street 1:675 BEN BOW RD
Practice Address - Street 2:
Practice Address - City:TAZEWELL
Practice Address - State:VA
Practice Address - Zip Code:24651-9190
Practice Address - Country:US
Practice Address - Phone:276-988-0114
Practice Address - Fax:276-979-5567
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001159028163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0782378308Medicaid