Unknown Individual – Nurse Practitioner, NPI 1891715322
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3640, High Street, Waterview Colonial Manor, Portsmouth, Virginia, 23707, United States
SUITE 2A
PORTSMOUTH, VA 237073213
Phone: (757) 397-6930
Fax: (757) 393-4864
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23707)
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