MEDICARE: TERESA CLARE SCIORTINO PA

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	363A00000X	Physician Assistant	0110010281	VA

General Provider Information

NPI Number	:	1972251163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA CLARE SCIORTINO PA

Provider Business Mailing Address
First Line	:	4505 COLUMBUS ST STE 250
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-5011
Country	:	US
Telephone Number	:	757-668-7546
Fax Number	:

Provider Business Practice Location Address
First Line	:	4505 COLUMBUS ST STE 250
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-5011
Country	:	US
Telephone Number	:	757-668-7546
Fax Number	:

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

Provider Enumeration Date	:	03/16/2022
Last Update Date	:	09/04/2025

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Directions to “ TERESA CLARE SCIORTINO PA” Practice Location

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