Provider Demographics
NPI:1205177524
Name:FERREIRA, VIRGINIA M (RN, BSN, MSN-AGACNP)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:M
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:RN, BSN, MSN-AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:160 E 34TH ST FL 8
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4744
Mailing Address - Country:US
Mailing Address - Phone:212-731-6363
Mailing Address - Fax:212-731-5545
Practice Address - Street 1:160 E 34TH ST FL 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4744
Practice Address - Country:US
Practice Address - Phone:212-731-6363
Practice Address - Fax:212-731-5545
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY638458163WC0200X
NY43430793363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine