Penalosa, Maria Tina

Penalosa, Maria Tina is an individual health care provider with primary practice located at 6333 Center Dr Bldg 16 , Norfolk VA 23502-4126. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Penalosa, Maria Tina can be contacted via phone (757) 252-9500.

Contact Information

Primary practice address
6333 Center Dr Bldg 16 Norfolk VA 23502-4126
Phone: (757) 252-9500
Fax: (757) 962-9801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001786 Virginia

Profile Details

NPI number 1083673586
LBN Legal business name Penalosa, Maria Tina
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Mar 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083673586 NPPES
Other 10245036 MEDICAID FIRST HEALTH
Other 541870984006 MEDICAID FIRST HEALTH
Other P00271162 MEDICAID FIRST HEALTH
Other 10004736P MEDICAID FIRST HEALTH
Other C13214 MEDICAID FIRST HEALTH

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