NPI 1003968884 · live from the CMS NPI Registry
Flordeliza Ablao-Chanthavichith, N.P.
Nurse Practitioner in Portsmouth, VA. National Provider Identifier 1003968884, active.
NPI record
| NPI | 1003968884 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 3235 Academy Ave, Suite 305, Portsmouth, VA 23703 |
| Practice phone | 757-686-9300 |
| Mailing address | 2876 Guardian Ln, Virginia Beach, VA 23452 |
| Enumerated | January 18, 2007 |
| Last updated | October 26, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 0024167161 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.