Provider Demographics
NPI:1801970868
Name:CARREIRA, VIRGINIA L (RN,FNP,C)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:L
Last Name:CARREIRA
Suffix:
Gender:F
Credentials:RN,FNP,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:25 COLD INDIAN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3307
Mailing Address - Country:US
Mailing Address - Phone:732-695-9025
Mailing Address - Fax:732-695-9026
Practice Address - Street 1:391 WESTWOOD AVE
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-5535
Practice Address - Country:US
Practice Address - Phone:732-728-9533
Practice Address - Fax:732-728-9670
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08742800363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care