Individual
TERA M STANISTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(757) 650-1762
(757) 257-1500
Mailing address
1209 MOOREFIELD CT, VIRGINIA BEACH, VA 23454-2210
(757) 650-1762
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024178987
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024178987
VA
Other
Enumeration date
01/28/2020
Last updated
02/25/2026
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