Individual
MISS MARIA REGINA CUNANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3235 ACADEMY AVE STE 305, PORTSMOUTH, VA 23703-3200
(757) 686-3000
Mailing address
397 WAYMAN LN, VIRGINIA BEACH, VA 23454-3211
(757) 693-0896
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024174937
VA
Other
Enumeration date
09/06/2017
Last updated
05/01/2024
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