Provider Demographics
NPI:1366047094
Name:FEARLESS CARE LLC
Entity type:Organization
Organization Name:FEARLESS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NP
Authorized Official - Prefix:DR
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:757-430-4270
Mailing Address - Street 1:2401 SEABOARD RD STE 105
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-3500
Mailing Address - Country:US
Mailing Address - Phone:757-430-4270
Mailing Address - Fax:949-695-3748
Practice Address - Street 1:2401 SEABOARD RD STE 105
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-3500
Practice Address - Country:US
Practice Address - Phone:757-430-4270
Practice Address - Fax:949-695-3748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty