Provider Demographics
NPI:1033631734
Name:ALAIMALO, YANEKA RHEA (NP)
Entity Type:Individual
Prefix:
First Name:YANEKA
Middle Name:RHEA
Last Name:ALAIMALO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 SENTARA CIR STE 320
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-5716
Mailing Address - Country:US
Mailing Address - Phone:757-345-4300
Mailing Address - Fax:757-510-9190
Practice Address - Street 1:400 SENTARA CIR STE 320
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-5716
Practice Address - Country:US
Practice Address - Phone:757-345-4300
Practice Address - Fax:757-510-9190
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018096363LA2100X
VA0024174617363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care