Healthcare Provider Details

I. General information

NPI: 1982571691
Provider Name (Legal Business Name): ARMIN BAHRANI BSN, RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 KEMPSVILLE RD
NORFOLK VA
23502-4727
US

IV. Provider business mailing address

1619 COLONNADE CRES
VIRGINIA BEACH VA
23451-6549
US

V. Phone/Fax

Practice location:
  • Phone: 757-455-6100
  • Fax:
Mailing address:
  • Phone: 757-323-9174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number0001319156
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: