Individual provider · Type 1 NPI

Tania Jeanette Modeliste, NURSE PRACTITIONER

Family Nurse Practitioner · Newport News, VA

NPI number 1346984606 Active

Practice location

48 Newmarket Sq
Newport News, VA 23605-2721

Fax (757) 847-9149

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XF11210527 (VA)
Family Nurse Practitioner 363LF0000X202205372NP-PP (OR)
Family Nurse Practitioner Primary 363LF0000X0024183611 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1346984606

Tania Jeanette Modeliste, NURSE PRACTITIONER's National Provider Identifier is 1346984606, issued on Apr 22, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newport News, VA. The record was last updated on Feb 25, 2025.