Long Term Care Of Tidewater Pc in Norfolk - Nurse Practitioner
Long Term Care Of Tidewater Pc - NPI 1033154430
Long Term Care Of Tidewater Pc is a Nurse Practitioner in Norfolk, Virginia. Long Term Care Of Tidewater Pc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Long Term Care Of Tidewater Pc is 1033154430. The last update date is 2019-11-01.
Long Term Care Of Tidewater Pc's current location address is 110 Kingsley Ln Ste 312, Norfolk, Virginia. You can contact this provider via phone number 7579175356 and fax number 7579175141. The mailing address for Long Term Care Of Tidewater Pc is 110 Kingsley Ln Ste 312, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Long Term Care Of Tidewater Pc |
|---|---|
| Address | 110 Kingsley Ln Ste 312, Norfolk, Virginia |
| Phone Number | 7579175356 |
| Fax Number | 7579175141 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Walter Jayne |
| Telephone Number | 7579175356 |
NPI Number Detail
| NPI Number | 1033154430 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2019-11-01 |
Provider Mailing Address Detail
| Address | 110 Kingsley Ln Ste 312 |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235054618 |
| Phone Number | 7579175356 |
| Fax Number | 7579175141 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CK3562 | VA | RAILROAD MEDICARE GROUP # |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Long Term Care Of Tidewater Pc by the Centers for Medicare & Medicaid Services?
The Long Term Care Of Tidewater Pc has been assigned the NPI (National Provider Identifier) 1033154430 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Long Term Care Of Tidewater Pc is geographically located?
The Long Term Care Of Tidewater Pc is physically situated at the following location: 110 Kingsley Ln Ste 312, Norfolk, VA, 235054618.
What is the Long Term Care Of Tidewater Pc's specialty and taxonomy code?
The Long Term Care Of Tidewater Pc's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033154430 to Long Term Care Of Tidewater Pc?
The Centers for Medicare & Medicaid Services assigned the 1033154430 to Long Term Care Of Tidewater Pc on 2006-06-19.
As of what date were the details related to Long Term Care Of Tidewater Pc most recently updated or revised?
The information pertaining to Long Term Care Of Tidewater Pc, including its address, specialty, and other relevant details, was last updated or revised on 2019-11-01.
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