Healthcare Provider Details

I. General information

NPI: 1356287205
Provider Name (Legal Business Name): AYNSLEY MERIWETHER IRVIN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AYNSLEY M IRVIN FNP

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5320 PROVIDENCE RD STE 301
VIRGINIA BEACH VA
23464-4122
US

IV. Provider business mailing address

216 65TH ST UNIT A
VIRGINIA BEACH VA
23451-2133
US

V. Phone/Fax

Practice location:
  • Phone: 757-413-7600
  • Fax: 757-413-7601
Mailing address:
  • Phone: 757-724-4903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024197152
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0024197152
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: