Provider Demographics
NPI:1861131039
Name:CAGNI, BRITTANY (NP-C)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:CAGNI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:LENA
Other - Last Name:CAGNI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:425 FOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-4203
Mailing Address - Country:US
Mailing Address - Phone:804-815-8913
Mailing Address - Fax:757-362-9684
Practice Address - Street 1:6325 N CENTER DR STE 204
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-0020
Practice Address - Country:US
Practice Address - Phone:757-392-9684
Practice Address - Fax:757-362-9684
Is Sole Proprietor?:No
Enumeration Date:2022-06-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024183869363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1902470420Medicaid