Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Medical LLC

Organization Family Nurse Practitioner · NPI 1831056191

Providence Medical LLC is a Family Nurse Practitioner in Fredericksburg, Virginia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

150 Riverside Pkwy Ste 115 Pmb 5560
Fredericksburg, VA 22406-1094
Phone: (347) 571-1312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1831056191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Daugherty — Ceo · (347) 571-1312
NPI enumeratedJanuary 8, 2026
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address150 Riverside Pkwy Ste 115, Fredericksburg, VA 22406-1094

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