Provider Demographics
NPI:1447020607
Name:LOPRETE, KRYSTINA AGNES (FNP-C)
Entity type:Individual
Prefix:
First Name:KRYSTINA
Middle Name:AGNES
Last Name:LOPRETE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3204 RONALD CT
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-1457
Mailing Address - Country:US
Mailing Address - Phone:757-268-6183
Mailing Address - Fax:
Practice Address - Street 1:328 LOUISA AVE STE 110
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-4668
Practice Address - Country:US
Practice Address - Phone:757-497-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001254481163W00000X
VA0024189301363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse