| Mr Michael David, NP | |
| 
					1504 Three Gait Trl, Virginia Beach, VA 23453-2501  | |
| (757) 214-5068 | |
| Not Available | 
| Full Name | Mr Michael David | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1504 Three Gait Trl, Virginia Beach, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881318699 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WN0300X | Registered Nurse - Nephrology | 0001207279 (Virginia) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 0024186763 (Virginia) | Primary | 
| Entity Name | Nephrology Associates Of Tidewater Ltd | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1518990423 PECOS PAC ID: 3173426558 Enrollment ID: O20040202000250  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Michael David, NP 6160 Kempsville Cir Ste 302a, Norfolk, VA 23502-3936 Ph: (757) 466-9288  | Mr Michael David, NP 1504 Three Gait Trl, Virginia Beach, VA 23453-2501 Ph: (757) 214-5068  | 
Dr. Ameanthea Rica Blanco-knezovich, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Diamond Springs Rd, Ste 503, Virginia Beach, VA 23455 Phone: 757-656-1665  | |
Clotilde Jorgina Ramos, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456 Phone: 757-507-1000  | |
Dr. Mary Heath Conner, DNP, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2624 Southern Blvd Ste 102, Virginia Beach, VA 23452 Phone: 757-453-1256 Fax: 319-359-3813  | |
Tonja Marie Devolgado, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2075 Glenn Mitchell Dr Ste 512, Virginia Beach, VA 23456 Phone: 757-507-8850  | |
Andrew Paul Leisring, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5500 Magnolia Run Cir Apt 107, Virginia Beach, VA 23464 Phone: 513-373-6017  | |
Rebekah Harriet Camerino,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 First Colonial Rd Ste 204, Virginia Beach, VA 23454 Phone: 757-363-8212  | |
Stephanie Cole Oldfield, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462 Phone: 757-457-5110 Fax: 757-466-3411  |