Provider Demographics
NPI:1568899268
Name:NOGUEIRA, ELLEN N (APRN-RX)
Entity Type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:N
Last Name:NOGUEIRA
Suffix:
Gender:F
Credentials:APRN-RX
Other - Prefix:MS
Other - First Name:ELLEN
Other - Middle Name:ALVES
Other - Last Name:NERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2544 LOTUS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-6446
Mailing Address - Country:US
Mailing Address - Phone:757-319-2799
Mailing Address - Fax:
Practice Address - Street 1:2544 LOTUS CREEK DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-6446
Practice Address - Country:US
Practice Address - Phone:757-319-2799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175993363LF0000X, 363LP0808X
HI1642363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily