MEDICARE: VICTORIA ISABEL TAMAYO-MCHALE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024179085	VA

General Provider Information

NPI Number	:	1144864166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA ISABEL TAMAYO-MCHALE

Provider Business Mailing Address
First Line	:	8919 GANTON CT
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-2478
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 E MAIN ST STE 310A
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23219-3537
Country	:	US
Telephone Number	:	305-542-9956
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2019
Last Update Date	:	09/17/2025

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