Provider Demographics
NPI:1568685097
Name:TODEA, CRINELA FICA (NP)
Entity Type:Individual
Prefix:
First Name:CRINELA
Middle Name:FICA
Last Name:TODEA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CRINELA
Other - Middle Name:FICA
Other - Last Name:TODEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:6422 WARREN POINT CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-5569
Mailing Address - Country:US
Mailing Address - Phone:734-833-5425
Mailing Address - Fax:
Practice Address - Street 1:1200 N HOWARD ST # DT
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-1634
Practice Address - Country:US
Practice Address - Phone:703-535-5568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704236890363LA2200X
VA0024179787363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4704236890OtherNP LICENSE
VA0024179787OtherNP LICENSE
VA0024179787OtherNP LICENSE