Organization · Type 2 NPI

Nirvana Hair Va LLC

Prosthetic/Orthotic Supplier · Newport News, VA

NPI number 1669194064 Active

Practice location

10019 Jefferson Ave
Newport News, VA 23605-1044

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

2 other providers at this address

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NPI record

NPI: 1669194064
Entity type: Organization (Type 2)
Issued: Sep 13, 2022
Last updated: Sep 13, 2022
Status: Active

Other names

My Custom Desire RX · doing business as
Nirvana Hair RX · doing business as
Nirvana Hair Studio · doing business as

Authorized official

Maree Newby-Sanders
President
(757) 254-7197

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About NPI 1669194064

Nirvana Hair Va LLC's National Provider Identifier is 1669194064, issued on Sep 13, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Newport News, VA. The record was last updated on Sep 13, 2022.