Individual provider · Type 1 NPI

Benita Altidor, NP-APRN

Gerontology Nurse Practitioner · Virginia Beach, VA

NPI number 1194402073 Active

Practice location

101 N Lynnhaven Rd Ste 100
Virginia Beach, VA 23452-7523

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X0001308308 (VA)
Gerontology Nurse Practitioner Primary 363LG0600X0024187421 (VA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1194402073

Benita Altidor, NP-APRN's National Provider Identifier is 1194402073, issued on Jul 3, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Virginia Beach, VA. The record was last updated on Jun 1, 2026.