Individual
DR. KINIYA CHANTERA CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, PMHNP-BC
Contact information
Practice address
14321 WINTER BREEZE DR, MIDLOTHIAN, VA 23113-2452
(833) 452-9772
(888) 442-6953
Mailing address
22 CROATAN TRL, PORTSMOUTH, VA 23701-2416
(757) 938-0140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024171501
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024171501
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C04555
GROUP PTAN
VA
01
—
C05149
GROUP PTAN
VA
01
—
C05403
GROUP PTAN
VA
01
—
GC1103
GROUP PTAN
VA
Enumeration date
02/24/2014
Last updated
04/29/2026
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