Provider Demographics
NPI:1538430749
Name:CELIZ, GAIDA MAY (NP-C)
Entity type:Individual
Prefix:MISS
First Name:GAIDA
Middle Name:MAY
Last Name:CELIZ
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 KEMPSVILLE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-2723
Mailing Address - Country:US
Mailing Address - Phone:757-313-5420
Mailing Address - Fax:757-313-5521
Practice Address - Street 1:810 KEMPSVILLE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-2723
Practice Address - Country:US
Practice Address - Phone:757-313-5420
Practice Address - Fax:757-313-5521
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169672363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily