Provider Demographics
NPI:1972786226
Name:ALICIE, SHERRIE DEE (CFNP)
Entity Type:Individual
Prefix:
First Name:SHERRIE
Middle Name:DEE
Last Name:ALICIE
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 PARNASSUS RD
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:VA
Mailing Address - Zip Code:22642-5950
Mailing Address - Country:US
Mailing Address - Phone:540-636-1156
Mailing Address - Fax:
Practice Address - Street 1:510 BLACKWELL RD
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2600
Practice Address - Country:US
Practice Address - Phone:540-729-3987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024164899363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA016950M58Medicare UPIN
VA142137ZCCUMedicare PIN