Individual
BENITA ALTIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 N LYNNHAVEN RD STE 100, VIRGINIA BEACH, VA 23452-7523
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(513) 873-1269
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024187421
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024187421
VA
Other
Enumeration date
07/03/2023
Last updated
04/08/2024
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