Provider Demographics
NPI:1003787649
Name:CAMERINO, REBEKAH HARRIET
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:HARRIET
Last Name:CAMERINO
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3753 OLD FORGE RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-3138
Mailing Address - Country:US
Mailing Address - Phone:757-773-5349
Mailing Address - Fax:
Practice Address - Street 1:1200 FIRST COLONIAL RD STE 204
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2270
Practice Address - Country:US
Practice Address - Phone:757-363-8212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001291564363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner