Provider Demographics
NPI:1376331967
Name:SMAGLIY, OLENA VITALIEVNA (FNP-C)
Entity type:Individual
Prefix:
First Name:OLENA
Middle Name:VITALIEVNA
Last Name:SMAGLIY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:OLENA
Other - Middle Name:
Other - Last Name:GERTSIY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2232 ELON DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-4313
Mailing Address - Country:US
Mailing Address - Phone:720-324-0328
Mailing Address - Fax:
Practice Address - Street 1:648 GRASSFIELD PKWY
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-7465
Practice Address - Country:US
Practice Address - Phone:757-312-6797
Practice Address - Fax:767-410-0390
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024193275207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine