Healthcare Provider Details

I. General information

NPI: 1609601160
Provider Name (Legal Business Name): TORRIE NICOLE TAFT CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 VOLVO PKWY
CHESAPEAKE VA
23320-2855
US

IV. Provider business mailing address

1407 OYSTER SHELL LN
VIRGINIA BEACH VA
23455-5454
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-4630
  • Fax:
Mailing address:
  • Phone: 757-412-9402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number0024191100
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: