Provider Demographics
NPI:1811562150
Name:CURRY, OLETHIA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:OLETHIA
Middle Name:
Last Name:CURRY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 KILN CREEK PKWY STE E
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-9700
Mailing Address - Country:US
Mailing Address - Phone:757-875-9700
Mailing Address - Fax:
Practice Address - Street 1:1405 KILN CREEK PKWY STE E
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-9700
Practice Address - Country:US
Practice Address - Phone:757-875-9700
Practice Address - Fax:757-875-1028
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024181187208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA12352225651Medicaid