Demetris Dewayne Aldridge
Individual provider Active NPI Emergency Registered Nurse · Virginia Beach, VA
NPI 1730940271 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1730940271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- 9533725 (FL)
- Practice address
- 1881 University Dr
Virginia Beach, VA 23453-8083 - Phone
- (757) 775-6694
- NPI assigned
- Jan 22, 2024
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9533725 | FL | MD | Emergency Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 9533725 | FL | Yes |
Addresses
Primary practice location
1881 University Dr
Virginia Beach, VA 23453-8083
Mailing address
1881 University Dr
Virginia Beach, VA 23453-8083
Phone (757) 775-6694
Other practice location 1
1881 University Dr
Virginia Beach, VA 23453-8083
Phone (757) 775-6694
Other providers in Virginia Beach, VA
- Kenneth Albinder
- Eric Jacob Albrecht
- Amanda Albright
- Karen Elizabeth Albright
- Denise Grace Alcantara
- Christopher Timberlake Aleman
- Amen Alemayehu
- Hilary Alessi
- Alessio C Salsano LTD
- Alessio C. Salsano M.D., P.C.
All providers in Virginia Beach, VA · Emergency Registered Nurse in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.