Provider Demographics
NPI:1447557020
Name:SHETH, KRITA (ANP-BC)
Entity Type:Individual
Prefix:
First Name:KRITA
Middle Name:
Last Name:SHETH
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 GLEBE SPRING LN
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-3125
Mailing Address - Country:US
Mailing Address - Phone:757-643-8989
Mailing Address - Fax:
Practice Address - Street 1:5309 DISCOVERY PARK BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-2789
Practice Address - Country:US
Practice Address - Phone:757-914-6000
Practice Address - Fax:757-914-6002
Is Sole Proprietor?:No
Enumeration Date:2011-02-17
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169096363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health