Provider Demographics
NPI:1831129840
Name:CRESS, ALICIA N (MD)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:N
Last Name:CRESS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:
Other - Last Name:NACPIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3452 ANDERSON HWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:POWHATAN
Mailing Address - State:VA
Mailing Address - Zip Code:23139-5845
Mailing Address - Country:US
Mailing Address - Phone:804-285-6050
Mailing Address - Fax:804-598-2481
Practice Address - Street 1:3452 ANDERSON HWY
Practice Address - Street 2:SUITE D
Practice Address - City:POWHATAN
Practice Address - State:VA
Practice Address - Zip Code:23139-5845
Practice Address - Country:US
Practice Address - Phone:804-285-6050
Practice Address - Fax:804-598-2481
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101051513207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA202167532OtherTAX ID
VA4523950OtherAETNA LIFE
VA4523950OtherAETNA HMO
VAC09633OtherGROUP PTAN
VA013278S22OtherMEDICARE PTAN
VA269952OtherANTHEM
VA545183OtherCOVENTRY SOUTHERN HEALTH
VA2161755OtherMAMSI/ UHC NON HMO
VA6721107OtherCIGNA
VAC04469OtherGROUP PTAN
VA10015363OtherOPTIMA
VA4523950OtherAETNA LIFE