Provider Demographics
NPI:1043978646
Name:MAJITHIA, REENA JITEN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:REENA
Middle Name:JITEN
Last Name:MAJITHIA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3230 GRANARD LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-6754
Mailing Address - Country:US
Mailing Address - Phone:980-406-1253
Mailing Address - Fax:
Practice Address - Street 1:120 EASTSHORE DR STE 210
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5644
Practice Address - Country:US
Practice Address - Phone:877-764-3574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1059872363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily