Provider Demographics
NPI:1659570232
Name:MALGIERI, JOANN F (NP)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:F
Last Name:MALGIERI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:JOANN
Other - Middle Name:F
Other - Last Name:MALGIERI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C,MSN,RN
Mailing Address - Street 1:2366 COLONY CROSSING
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4280
Mailing Address - Country:US
Mailing Address - Phone:804-285-6090
Mailing Address - Fax:804-639-8069
Practice Address - Street 1:2366 COLONY CROSSING
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4280
Practice Address - Country:US
Practice Address - Phone:804-285-6090
Practice Address - Fax:804-639-8069
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169348363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06778OtherGROUP PTAN
VAC06778OtherGROUP PTAN