MEDICARE: ALLY C., NP FAMILY HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1710795802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLY C., NP FAMILY HEALTH PLLC

Provider Business Mailing Address
First Line	:	330 E BAYVIEW BLVD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23503-5205
Country	:	US
Telephone Number	:	757-937-8787
Fax Number	:	757-257-9461

Provider Business Practice Location Address
First Line	:	330 E BAYVIEW BLVD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23503-5205
Country	:	US
Telephone Number	:	757-937-8787
Fax Number	:	757-257-9461

Authorized Official
Title or Position	:	CEO
Name	:	ALLITA BRAGA CHAPLINSKIY
Credential	:	FNP
Telephone Number	:	757-600-8377

Provider Enumeration Date	:	12/21/2024
Last Update Date	:	02/17/2025

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