Healthcare Provider Details

I. General information

NPI: 1770113763
Provider Name (Legal Business Name): AMY ARMSTEAD DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2020
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10543 S CRATER RD
SOUTH PRINCE GEORGE VA
23805-7333
US

IV. Provider business mailing address

825 DILIGENCE DR
NEWPORT NEWS VA
23606-4211
US

V. Phone/Fax

Practice location:
  • Phone: 877-848-9810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024178697
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024178697
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: