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NPI 1659462588

NPI 1659462588 : HELENE TERESE GINGRAS CFNP : HAMPTON, VA

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General NPI Number Information
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    NPI Number           |    1659462588
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    Entity Type          |    Individual 
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    Provider Name        |    HELENE TERESE GINGRAS CFNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/27/2006
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    Last Update Date     |    01/14/2025
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Provider Practice Location Address
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    Address Line         |    2112 HARTFORD RD 
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    City                 |    HAMPTON
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    State                |    VA
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    Zip                  |    23666-2409
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    Country              |    US
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    Telephone            |    757-826-7516
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    Fax                  |    757-826-6232
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Provider Business Mailing Address
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    Address Line         |    2112 HARTFORD RD 
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    City                 |    HAMPTON
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    State                |    VA
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    Zip                  |    23666-2409
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    Country              |    US
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    Telephone            |    757-826-7516
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    Fax                  |    757-826-6232
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WP0807X
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    Taxonomy Name        |    Child & Adolescent Psychiatric/Mental Health Registered Nurse
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    License Number       |    000111273
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    0024112703
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    License Number State |    VA
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