Healthcare Provider Details

I. General information

NPI: 1114574753
Provider Name (Legal Business Name): STACY CARTWRIGHT PRITCHARD FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2019
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

667 KINGSBOROUGH SQ STE 101
CHESAPEAKE VA
23320-4999
US

IV. Provider business mailing address

1301 EXECUTIVE BLVD STE 200
CHESAPEAKE VA
23320-3671
US

V. Phone/Fax

Practice location:
  • Phone: 757-312-3132
  • Fax: 757-312-6212
Mailing address:
  • Phone: 757-842-4481
  • Fax: 757-312-3135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5012113
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024178146
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: