Individual provider · Type 1 NPI
Charles C. De la Riva Jr., NP-C
Nurse Practitioner · Portsmouth, VA
Practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 261707 (AZ) |
| Nurse Practitioner Primary | 363L00000X | 261707 (AZ) |
| Registered Nurse | 163W00000X | 192810 (AZ) |
| Family Nurse Practitioner | 363LF0000X | 261707 (AZ) |
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 1336726447
Charles C. De la Riva Jr., NP-C's National Provider Identifier is 1336726447, issued on Mar 25, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portsmouth, VA. The record was last updated on Oct 8, 2026.