Individual
DILRUKSHIE MARIA KAHATAPITIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
850 KEMPSVILLE RD STE 200B, NORFOLK, VA 23502-3920
(757) 261-5999
Mailing address
850 KEMPSVILLE RD STE 200B, NORFOLK, VA 23502-3920
(757) 261-5999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024167158
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10019827N
OPTIMA/SENTARA
VA
05
—
1801964028
—
VA
Enumeration date
12/04/2006
Last updated
11/03/2023
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