Individual provider · Type 1 NPI

Giavonni Alexis Virella, NP

Nurse Practitioner · Charlotte, NC

NPI number 1922793694 Active

Practice location

6324 Fairview Rd Ste 460
Charlotte, NC 28210-3374

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 1250 16th St, Santa Monica, CA 90404-1249 · (310) 825-9111

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse 163WM0705X95072003 (CA)
Nurse Practitioner Primary 363L00000X5019847 (NC)
Psychiatric/Mental Health Registered Nurse 163WP0808X95072003 (CA)

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 1922793694

Giavonni Alexis Virella, NP's National Provider Identifier is 1922793694, issued on Apr 10, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 11, 2025.