Individual
MRS. MITA MOORTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
844 KEMPSVILLE RD STE 103B, NORFOLK, VA 23502-3927
(757) 261-0200
(757) 261-0201
Mailing address
844 KEMPSVILLE RD STE 103B, NORFOLK, VA 23502-3927
(757) 261-0200
(757) 261-0201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024196850
VA
363LF0000X
Family Nurse Practitioner
334657
NY
363LF0000X
Family Nurse Practitioner
482708-1
NY
Other
Enumeration date
11/21/2005
Last updated
06/10/2026
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