Healthcare Provider Details

I. General information

NPI: 1295883205
Provider Name (Legal Business Name): PATIENT FIRST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 NEWTOWN RD
VIRGINIA BEACH VA
23462-1793
US

IV. Provider business mailing address

5000 COX RD STE 100
GLEN ALLEN VA
23060-9263
US

V. Phone/Fax

Practice location:
  • Phone: 757-473-8400
  • Fax: 757-473-0712
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number StateVA

VIII. Authorized Official

Name: DEBORAH KAFFENBERGER
Title or Position: DMS
Credential: RN
Phone: 757-473-8400