Provider Demographics
NPI:1699965020
Name:PAGTALUNAN, MARIA ELIZABETH (NP)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ELIZABETH
Last Name:PAGTALUNAN
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Gender:F
Credentials:NP
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Mailing Address - Street 1:5838 HARBOUR VIEW BLVD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-2663
Mailing Address - Country:US
Mailing Address - Phone:757-541-1050
Mailing Address - Fax:757-541-1097
Practice Address - Street 1:5838 HARBOUR VIEW BLVD
Practice Address - Street 2:SUITE 270
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-2663
Practice Address - Country:US
Practice Address - Phone:757-541-1050
Practice Address - Fax:757-541-1097
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2012-08-01
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Provider Licenses
StateLicense IDTaxonomies
VA0017137042363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA022592M80Medicare PIN