Tidewater Medspa Pllc

LBN: Tidewater Medspa Pllc
Tidewater Medspa Pllc is an health care organization with primary practice located at 3400 Airline Blvd , Portsmouth VA 23701-2623. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Tidewater Medspa Pllc can be contacted via phone (757) 470-9454, or through Wilson, Margot via phone (757) 470-9454.

Contact Information

Primary practice address
3400 Airline Blvd Portsmouth VA 23701-2623
Phone: (757) 470-9454
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Margot Family Nurse Practitioner (FNP)
Phone: (757) 470-9454

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1356099113
LBN Legal business name Tidewater Medspa Pllc
DBA Doing business as
Authorized official Wilson, Margot Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2022
Last updated Mar 11th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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