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NPI Code Detail

MEDICARE: PRINCESS PEOPLES

MEDICARE:   PRINCESS  PEOPLES
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
1171M00000XCase Manager/Care Coordinator17634VA

General Provider Information

NPI Number : 1710829981
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRINCESS PEOPLES
Provider Business Mailing Address
First Line : 5104 BUTE ST
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23321-1586
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5104 BUTE ST
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23321-1586
Country : US
Telephone Number : 757-754-2395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ PRINCESS PEOPLES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.