Healthcare Provider Details

I. General information

NPI: 1356818330
Provider Name (Legal Business Name): BRIDGETTE NUNES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2018
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 BATTLEFIELD BLVD N STE 200
CHESAPEAKE VA
23320-4941
US

IV. Provider business mailing address

6350 CENTER DR
NORFOLK VA
23502-4107
US

V. Phone/Fax

Practice location:
  • Phone: 757-549-4403
  • Fax: 757-549-4332
Mailing address:
  • Phone: 757-905-5558
  • Fax: 757-213-5762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110009263
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: