Healthcare Provider Details

I. General information

NPI: 1801277066
Provider Name (Legal Business Name): ELIZABETH A. MARKEY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2015
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6802 PARAGON PL STE 410
RICHMOND VA
23230-1655
US

IV. Provider business mailing address

2624 SOUTHERN BLVD STE 102
VIRGINIA BEACH VA
23452-7433
US

V. Phone/Fax

Practice location:
  • Phone: 757-453-1256
  • Fax: 319-359-3813
Mailing address:
  • Phone: 757-453-1256
  • Fax: 319-359-3813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0024173343
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024173343
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: