Healthcare Provider Details

I. General information

NPI: 1790695799
Provider Name (Legal Business Name): BRITTANY WARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N CENTER DR STE 100
NORFOLK VA
23502-0002
US

IV. Provider business mailing address

325 AGUSTA DR
NEWPORT NEWS VA
23601-1436
US

V. Phone/Fax

Practice location:
  • Phone: 757-908-3754
  • Fax: 757-767-7783
Mailing address:
  • Phone: 757-814-5816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024198652
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: