Adrienne Ayres

Individual provider Active NPI Case Manager/Care Coordinator · Virginia Beach, VA

NPI 1659753192 · NPPES record last updated Jun 21, 2015

Key facts

NPI
1659753192
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
VA EI LICENSE (VA)
Practice address
4560 South Blvd Ste 310
Virginia Beach, VA 23452-1160
Phone
(757) 490-3223
Fax
(757) 490-2936
NPI assigned
Jun 21, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
VA EI LICENSEVAMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X VA EI LICENSE VA Yes

Addresses

Primary practice location

4560 South Blvd Ste 310
Virginia Beach, VA 23452-1160

Mailing address

4560 South Blvd Ste 310
Virginia Beach, VA 23452-1160
Phone (757) 490-3223

Other providers in Virginia Beach, VA

All providers in Virginia Beach, VA · Case Manager/Care Coordinator in Virginia

Sources for this page

Verify at the official NPI Registry.