Provider Demographics
NPI:1023750239
Name:PACIONE, ALINA MARIE
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:MARIE
Last Name:PACIONE
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 1:3200 W CLAY ST APT 179
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-4657
Mailing Address - Country:US
Mailing Address - Phone:410-491-4638
Mailing Address - Fax:
Practice Address - Street 1:6372 MECHANICSVILLE TPKE STE 101
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-4710
Practice Address - Country:US
Practice Address - Phone:804-522-1471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant