Amanda Valdivia, PA
Physician Assistant in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1669319620
StatusActive
Last updated in NPPESApr 29, 2026
Details
- NPI
- 1669319620
- Entity type
- Individual (NPI-1)
- Name
- Amanda Valdivia
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2026
- Certification date
- Apr 29, 2026
- Last updated
- Apr 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110011772 | VA | Yes |
Practice location
1201 Lake James Dr Ste 200Virginia Beach, VA 23464-6780
Phone 757-523-0022
Mailing address
536 Eldridge LnChesapeake, VA 23323-6448
Phone 757-523-0022
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