Healthcare Provider Details

I. General information

NPI: 1801219100
Provider Name (Legal Business Name): NANCY GERWE MSN RN ACNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2014
Last Update Date: 01/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 BATTLEFIELD BLVD N
CHESAPEAKE VA
23320-4802
US

IV. Provider business mailing address

736 BATTLEFIELD BLVD N
CHESAPEAKE VA
23320-4941
US

V. Phone/Fax

Practice location:
  • Phone: 757-312-6265
  • Fax: 757-312-4016
Mailing address:
  • Phone: 757-312-6265
  • Fax: 757-312-4016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number0001215904
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: