person
Ms. Tanja Nunnold, PA
Medical Physician Assistant in Virginia Beach, Virginia
NPI 1578573432

Tanja Nunnold is a Medical Physician Assistant based in Virginia Beach, VA and is specialized in Medical. Tanja Nunnold practices in Virginia Beach, VA and has the professional credentials of PA. The NPI Number for Tanja Nunnold is 1578573432 and holds a License No. 0110002120 (Virginia).

The current practice location address for Tanja Nunnold is 291 Independence Blvd, Virginia Beach, VA and can be reached out via phone at 757-490-6637 and via fax at 757-490-6636.

Location: 291 Independence Blvd, Virginia Beach, VA, 23462
person
Provider Profile Details
NPI Number
1578573432
Provider Name
Tanja Nunnold
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
291 Independence Blvd, Virginia Beach, VA, 23462
Phone Number
757-490-6637
Fax Number
757-490-6636
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01000002120 01 VA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
291 Independence Blvd
City
State
Zip
23462
Phone Number
757-490-6637
Fax Number
757-490-6636
person
Provider Business Mailing Address Details
Address
291 Independence Blvd
City
State
Zip
23462
Phone Number
757-490-6637
Fax Number
757-490-6636
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110002120 (Virginia)
Definition
Definition to come...
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