Individual
JANET ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4360 SHORE DR STE 101A, VIRGINIA BEACH, VA 23455-2994
(757) 251-0879
(984) 202-9437
Mailing address
904 EASTWIND CT, VIRGINIA BEACH, VA 23464-3111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
000124986
VA
164W00000X
Licensed Practical Nurse
0002068987
VA
363LF0000X
Family Nurse Practitioner
Primary
0024186731
VA
Other
Enumeration date
01/31/2023
Last updated
06/15/2023
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