Individual provider · NPI-1

Mariana Herrera, ACNPC-AG

Preventive Medicine, Sports Medicine · Virginia Beach, VA

NPI number1659193183
StatusActive
Last updated in NPPESJul 21, 2026

Details

NPI
1659193183
Entity type
Individual (NPI-1)
Name
Mariana Herrera
Credential
ACNPC-AG
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 28, 2024
Certification date
Jul 21, 2026
Last updated
Jul 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083S0010X Preventive Medicine, Sports Medicine0024191600VAYes
363LA2100X Nurse Practitioner, Acute Care0024191600VA

Practice location

4020 Bonney Rd Ste 105
Virginia Beach, VA 23452-1765

Phone 434-849-4295

Mailing address

4020 Bonney Rd Ste 105
Virginia Beach, VA 23452-1765

Phone 434-849-4295

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Preventive Medicine, Sports Medicine providers in Virginia Beach, VA