Healthcare Provider Details

I. General information

NPI: 1609748912
Provider Name (Legal Business Name): NETTA MICHELLE SORHAINDO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 CLEARFIELD AVE
VIRGINIA BEACH VA
23462-1815
US

IV. Provider business mailing address

225 CLEARFIELD AVE
VIRGINIA BEACH VA
23462-1815
US

V. Phone/Fax

Practice location:
  • Phone: 973-830-7248
  • Fax:
Mailing address:
  • Phone: 757-457-5100
  • Fax: 757-961-3696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024191777
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: