Healthcare Provider Details

I. General information

NPI: 1598343311
Provider Name (Legal Business Name): ANA-MARIA MCGILL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 01/20/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 FAIRFAX AVE # 710
NORFOLK VA
23507-1912
US

IV. Provider business mailing address

825 FAIRFAX AVE # 710
NORFOLK VA
23507-1912
US

V. Phone/Fax

Practice location:
  • Phone: 757-446-5888
  • Fax:
Mailing address:
  • Phone: 757-446-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number0102208763
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0102208763
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: