Provider Demographics
NPI:1538775697
Name:FIRST CHOICE ANDERSON FNP LLC
Entity type:Organization
Organization Name:FIRST CHOICE ANDERSON FNP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TALISHA
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:CHEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:757-773-2781
Mailing Address - Street 1:1540 BREEZEPORT WAY STE 600
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3755
Mailing Address - Country:US
Mailing Address - Phone:757-967-0810
Mailing Address - Fax:757-967-0811
Practice Address - Street 1:1540 BREEZEPORT WAY STE 600
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-3755
Practice Address - Country:US
Practice Address - Phone:757-967-0810
Practice Address - Fax:757-967-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty