Individual provider · Type 1 NPI

Mindi Lyn Mancuello, PA

Medical Physician Assistant · Virginia Beach, VA

NPI number 1659313336 Active

Practice location

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456

Call (757) 507-1000 Map

Mailing address

811 Redgate Ave
Norfolk, VA 23507-1515

Other practice locations

  • 2001 Kingsley Ave, Orange Park, FL 32073-5148 · (904) 639-8500
  • 830 Kempsville Rd, Norfolk, VA 23502-3920 · (757) 261-6000
  • 601 Childrens Ln, Norfolk, VA 23507-1910 · (757) 668-7000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9104369 (FL)
Medical Physician Assistant 363AM0700X001618 (CT)
Medical Physician Assistant Primary 363AM0700X0110004770 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1659313336

Mindi Lyn Mancuello, PA's National Provider Identifier is 1659313336, issued on Jun 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Virginia Beach, VA. The record was last updated on Feb 18, 2019.