Individual provider · Type 1 NPI

Sandy N. Bacallao, NP

Nurse Practitioner · Newport News, VA

NPI number 1154860484 Active

Practice location

12200 Warwick Blvd, Suite 310
Newport News, VA 23601-2344

Mailing address

856 J Clyde Morris Blvd, Suite A
Newport News, VA 23601-1318

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0024174421 (VA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154860484

Sandy N. Bacallao, NP's National Provider Identifier is 1154860484, issued on Feb 20, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Newport News, VA. The record was last updated on May 15, 2017.