Provider Demographics
NPI:1770807331
Name:KAPRIELIAN, TRISHA CONSTANCE (FNP)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:CONSTANCE
Last Name:KAPRIELIAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TRISHA
Other - Middle Name:C
Other - Last Name:MALLEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 EMANCIPATION DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23667-0001
Mailing Address - Country:US
Mailing Address - Phone:757-722-9961
Mailing Address - Fax:
Practice Address - Street 1:100 EMANCIPATION DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23667-2709
Practice Address - Country:US
Practice Address - Phone:757-722-9961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168711363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1770807331Medicaid
VAPAROtherUSA MANAGED CARE
VA10058961OtherOPTIMA HEALTH
VA-022OtherTRICARE/CHAMPUS
VA408547OtherANTHEM
NC7000799Medicaid
VAPAROtherMULTIPLAN
VAPAROtherCORVEL/CORCARE
VAPAROtherVA PREMIER HEALTH
VAPAROtherUSA MANAGED CARE
VAPAROtherMULTIPLAN