Individual provider · Type 1 NPI
Tiffany M. Colavincenzo, AGACNP
Acute Care Nurse Practitioner · Charlottesville, VA
NPI number
1124621586
Active
Practice location
1215 Lee St
Charlottesville, VA 22908-0816
Mailing address
PO Box 749112
Atlanta, GA 30374-9112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 0024180120 (VA) |
| Acute Care Clinical Nurse Specialist | 364SA2100X | 0024180120 (VA) |
| Otolaryngology Physician | 207Y00000X | 0024180120 (VA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 0024180120 (VA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1124621586
Tiffany M. Colavincenzo, AGACNP's National Provider Identifier is 1124621586, issued on Nov 18, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Charlottesville, VA. The record was last updated on Jul 21, 2025.