Individual
TINA VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
850 ENTERPRISE PKWY STE 2000, HAMPTON, VA 23666-6252
(757) 534-6109
(757) 827-0129
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024177269
VA
Other
Enumeration date
04/15/2019
Last updated
11/13/2019
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