Provider Demographics
NPI:1811937774
Name:ACREE, VIRGINIA V (APRN)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:V
Last Name:ACREE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 LINSTEAD RD
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-4545
Mailing Address - Country:US
Mailing Address - Phone:410-647-2186
Mailing Address - Fax:410-647-2186
Practice Address - Street 1:15 LINSTEAD RD
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-4545
Practice Address - Country:US
Practice Address - Phone:410-647-2186
Practice Address - Fax:410-647-2186
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR088060163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDPO1965Medicare UPIN
MD290RMedicare ID - Type Unspecified