Provider Demographics
NPI:1548953144
Name:DIXON, VERA
Entity type:Individual
Prefix:MS
First Name:VERA
Middle Name:
Last Name:DIXON
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 1:2003 PLANK RD # 1176
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-5103
Mailing Address - Country:US
Mailing Address - Phone:540-914-3569
Mailing Address - Fax:
Practice Address - Street 1:1101 TOWNSEND BLVD APT 12
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-8113
Practice Address - Country:US
Practice Address - Phone:804-549-6358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-30
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion