MEDICARE: MAURA COLLEEN EATON N.P.

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	363LW0102X	Women's Health Nurse Practitioner	0024169465	VA

General Provider Information

NPI Number	:	1497042121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURA COLLEEN EATON N.P.

Provider Business Mailing Address
First Line	:	1744 SIR WILLIAM OSLER DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3003
Country	:	US
Telephone Number	:	757-481-4036
Fax Number	:	757-481-5435

Provider Business Practice Location Address
First Line	:	1744 SIR WILLIAM OSLER DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3003
Country	:	US
Telephone Number	:	757-481-4036
Fax Number	:	757-481-5435

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

Provider Enumeration Date	:	07/01/2011
Last Update Date	:	02/04/2026

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Practice Location Address:

1704 SIR WILLIAM OSLER DR , SUITE 300
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1558362939 — DR. HARVEY D DAVIS MD
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1831172121 — DR. GREGORY GEORGE PENDELL M.D.
Practice Location Address:

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23454-3003

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Practice Location Address:

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1043290646 — MARGUERITE SLINGLUFF LENGKEEK M.D.
Practice Location Address:

1704 SIR WILLIAM OSLER DR
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Practice Fax:

1285600320 — DR. MORRIS M ELSTEIN M.D.
Practice Location Address:

1744 SIR WILLIAM OSLER DR
VIRGINIA BEACH, VA
23454-3003

Practice Phone: 757-481-4036
Practice Fax: 757-481-5435

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