MEDICARE: ALLITA BRAGA CHAPLINSKIY NP

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	163W00000X	Registered Nurse	0001262104	VA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	363LF0000X	Family Nurse Practitioner	0024188312	VA

General Provider Information

NPI Number	:	1295438638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLITA BRAGA CHAPLINSKIY NP

Provider Business Mailing Address
First Line	:	330 E BAYVIEW BLVD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23503-5205
Country	:	US
Telephone Number	:	757-937-8787
Fax Number	:	757-257-9461

Provider Business Practice Location Address
First Line	:	330 E BAYVIEW BLVD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23503-5205
Country	:	US
Telephone Number	:	757-937-8787
Fax Number	:	757-257-9461

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

Provider Enumeration Date	:	03/24/2023
Last Update Date	:	02/17/2025

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