Provider Demographics
| NPI: | 1356964373 |
|---|---|
| Name: | A NEW DAY HEALTHCARE |
| Entity type: | Organization |
| Organization Name: | A NEW DAY HEALTHCARE |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | AMANDA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | JOHNSON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | FNP-BC |
| Authorized Official - Phone: | 757-664-9700 |
| Mailing Address - Street 1: | 1604 HILLTOP WEST CTR STE 215 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | VIRGINIA BEACH |
| Mailing Address - State: | VA |
| Mailing Address - Zip Code: | 23451-6196 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 757-664-9700 |
| Mailing Address - Fax: | 757-664-9701 |
| Practice Address - Street 1: | 1604 HILLTOP WEST CTR STE 215 |
| Practice Address - Street 2: | |
| Practice Address - City: | VIRGINIA BEACH |
| Practice Address - State: | VA |
| Practice Address - Zip Code: | 23451-6196 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 757-664-9700 |
| Practice Address - Fax: | 757-664-9701 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2020-05-26 |
| Last Update Date: | 2020-05-26 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | Group - Single Specialty |