Individual
MS. TANJA NUNNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
291 INDEPENDENCE BLVD, PEMBROKE BLDG 4 STE 522, VIRGINIA BEACH, VA 23462
(757) 490-6637
(757) 490-6636
Mailing address
291 INDEPENDENCE BLVD, PEMBROKE BLDG 4 STE 522, VIRGINIA BEACH, VA 23462
(757) 490-6637
(757) 490-6636
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002120
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000002120
STATE LICENSE
VA
Enumeration date
08/09/2006
Last updated
06/17/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us