Provider Demographics
NPI:1235471046
Name:FLORES, ANTONIA ARESTA (NP-C)
Entity Type:Individual
Prefix:
First Name:ANTONIA
Middle Name:ARESTA
Last Name:FLORES
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1453 KEMPSVILLE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-7319
Mailing Address - Country:US
Mailing Address - Phone:757-399-5300
Mailing Address - Fax:757-399-5987
Practice Address - Street 1:1453 KEMPSVILLE RD STE 103
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-7319
Practice Address - Country:US
Practice Address - Phone:757-399-5300
Practice Address - Fax:757-399-5987
Is Sole Proprietor?:No
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170595363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily