DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Sole Proprietor

Licensed Practical Nurse · VIRGINIA BEACH, VA

Registration Details

NPI Number
1063283638
Provider Type
Individual
Gender
Female
NPI Issued
Jan 12, 2024 (2.2719112518259 yrs)
Last Updated
Jan 12, 2024
License
0002086111 (VA)
Sole Proprietor
Yes

Practice Information

Address
3852 SHOOTING STAR DR
VIRGINIA BEACH, VA, 234561319
Browse VA providers · Browse ZIP 23456
Phone
7579181849
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in VIRGINIA BEACH, VA

Name Credential NPI
MS. JULIANA MICHELLE YIM LPN 1801813522
MRS. STEPHANIE JOANNE HIBBLER LPN 1356520928
ROSE PIERRE LPN 1679820328
MISS JO ANN FRANKLIN LPN 1952653222
CATHRYN ASHE LPN 1811306715
FELEICA STEWART 1982051777
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.