Provider Demographics
NPI:1245613140
Name:DINWIDDIE, AIMEE ELIZABETH (MPA, PA-C)
Entity Type:Individual
Prefix:MISS
First Name:AIMEE
Middle Name:ELIZABETH
Last Name:DINWIDDIE
Suffix:
Gender:F
Credentials:MPA, PA-C
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Mailing Address - Street 1:1550 TOMCAT BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23460-2186
Mailing Address - Country:US
Mailing Address - Phone:757-953-3933
Mailing Address - Fax:757-953-3763
Practice Address - Street 1:1550 TOMCAT BLVD STE 150
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23460-2186
Practice Address - Country:US
Practice Address - Phone:757-953-3933
Practice Address - Fax:757-953-3763
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical