Basic Information
Provider Information
NPI: 1447200597
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHERNITZER
FirstName: DENISE
MiddleName: HOLLAND
NamePrefix: MRS.
NameSuffix:  
Credential: CFNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3533 CALVERTON WAY
Address2:  
City: CHESAPEAKE
State: VA
PostalCode: 233214432
CountryCode: US
TelephoneNumber: 7574844644
FaxNumber:  
Practice Location
Address1: 208 E PLUME ST
Address2: SUITE 213
City: NORFOLK
State: VA
PostalCode: 235101757
CountryCode: US
TelephoneNumber: 7572338252
FaxNumber: 7572338905
Other Information
ProviderEnumerationDate: 05/11/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X0024164778VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home