Basic Information
| Provider Information | |||||||||
| NPI: | 1073062915 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FLINT | ||||||||
| FirstName: | MONIQUEIA | ||||||||
| MiddleName: | PEARSON | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1080 FIRST COLONIAL RD | ||||||||
| Address2: | STE 305 | ||||||||
| City: | VIRGINIA BEACH | ||||||||
| State: | VA | ||||||||
| PostalCode: | 234542406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7573951850 | ||||||||
| FaxNumber: | 7579615622 | ||||||||
| Practice Location | |||||||||
| Address1: | 303 35TH ST | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | VIRGINIA BEACH | ||||||||
| State: | VA | ||||||||
| PostalCode: | 234512868 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8439019460 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2016 | ||||||||
| LastUpdateDate: | 11/09/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0024173913 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.