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NPI Code Detail

MEDICARE: VANESSA PATEL AGACNP

MEDICARE: VANESSA PATEL AGACNP
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
1363LG0600XGerontology Nurse Practitioner0024174219VA
2363LA2100XAcute Care Nurse Practitioner0024174219VA

General Provider Information

NPI Number : 1902348121
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA PATEL AGACNP
Provider Business Mailing Address
First Line : 2133 UPTON DRIVE STE 126 #512
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-1194
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2420 PEMBERTON RD
Second Line :
City : RICHMOND
State : VA
Zip : 23233-2003
Country : US
Telephone Number : 804-747-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2016
Last Update Date : 06/09/2026

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Directions to “ VANESSA PATEL AGACNP” Practice Location

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