1154391845 NPI NUMBER - ANITA M PRESSON, NP

Summary

NPI Number 1154391845
Entity Type Code Individual
Provider Legal Name ANITA M PRESSON, NP
Provider Business Practice Location Address 664 LINCOLN ST
PORTSMOUTH, VA
ZIP 23704
Practice Location Phone Number (757) 393-6363
Provider Taxonomy Code 363LP0200X - Nurse Practitioner
Specialization Pediatrics
Provider Enumeration Date 1/25/2006
Last Update Date 7/8/2007

Detailed Information

NPI Number 1154391845 is assigned to an individual registered under the provider name ANITA M PRESSON, NP .

The NPPES NPI record indicates the provider is a female.

The provider is physically located at:

664 LINCOLN ST
PORTSMOUTH, VA
ZIP 23704-818
Phone: (757) 393-6363
Fax: (757) 215-1054

The enumeration date for this NPI number is 1/25/2006 and was last updated on 7/8/2007 .

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License Number State
1 363LP0200X Nurse Practitioner Pediatrics 0024034825 VA View Code

Other (Legacy) Identifiers

The following legacy identifiers for this provider are available:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer

NPI Record

No. Field Name Field Value
1 NPI 1154391845
2 Entity Type Code 1
3 Provider Last Name Legal Name PRESSON
4 Provider First Name ANITA
5 Provider Middle Name M
6 Provider Credential Text NP
7 Provider First Line Business Practice Location Address 664 LINCOLN ST
8 Provider Business Practice Location Address City Name PORTSMOUTH
9 Provider Business Practice Location Address State Name VA
10 Provider Business Practice Location Address Postal Code 237044818
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 7573936363
13 Provider Business Practice Location Address Fax Number 7572151054
14 Provider Enumeration Date 1/25/2006
15 Last Update Date 7/8/2007
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 363LP0200X
18 Provider License Number 1 0024034825
19 Provider License Number State Code 1 VA
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Sole Proprietor X

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This page was last updated on: 6/9/2013
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.