Provider Demographics
NPI:1760122899
Name:PINEDA, MARIA NAZZARINA (NP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:NAZZARINA
Last Name:PINEDA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:RAMOS
Other - Last Name:NAZZARINA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:801 SPARKS TRCE
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-3994
Mailing Address - Country:US
Mailing Address - Phone:757-619-3615
Mailing Address - Fax:
Practice Address - Street 1:830 KEMPSVILLE RD RM 2B223
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3920
Practice Address - Country:US
Practice Address - Phone:757-261-8860
Practice Address - Fax:757-689-2420
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-29
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024182379363LP2300X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty