MRS. Ida Trice Vaclavik, NP is a family nurse practitioner in Midlothian, VA with 14 years of experience. MRS. Ida Trice Vaclavik, NP NPI is 1134408644. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
601 WATKINS CENTRE PKWY
SUITE 200
MIDLOTHIAN, VA
ZIP 23114-002
Phone: (804) 594-3130
Fax: (804) 423-6517
The NPI 1134408644 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/15/2011 and was last updated on 5/21/2015.