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NIRVANA HAIR VA LLC
NPI 1669194064
Prosthetic/Orthotic Supplier in Newport News, VA

Active since September 13, 2022
10019 JEFFERSON AVE, NEWPORT NEWS, VA 23605(757) 254-7197 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nirvana Hair Va Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIRVANA HAIR VA LLC (NPI 1669194064), doing business as My Custom Desire Rx, is a healthcare organization registered as a prosthetic/orthotic supplier in Newport News, Virginia and active in the NPI registry since September 2022. The organization lists Maree Newby-sanders, President, as its authorized official.

NPPES Registry Identity

NPI1669194064
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameNIRVANA HAIR VA LLC
Location Address10019 JEFFERSON AVENewport News, VA 23605-1044
Mailing Address10019 Jefferson AveNewport News, VA 23605-1044 · (757) 254-7197
Phone(757) 254-7197
Organization SubpartNo
Authorized OfficialMaree Newby-sandersPresident · (757) 254-7197
Enumeration DateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
✔ NPI 1669194064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
10019 JEFFERSON AVE, Newport News, VA 23605
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Other Names 3

Doing Business AsMy Custom Desire Rx
Doing Business AsNirvana Hair Rx
Doing Business AsNirvana Hair Studio

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAREE ANTONETTE NEWBY-SANDERS LMT
Massage Therapist
10019 JEFFERSON AVE
NEWPORT NEWS, VA 23605
Hampton City (757) 254-7197
NIRVANA HAIR VA LLC
Durable Medical Equipment & Medical Supplies
10019 JEFFERSON AVE
NEWPORT NEWS, VA 23605
Hampton City (757) 254-7197

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nirvana Hair VA LLC's NPI number?

The NPI number for Nirvana Hair VA LLC is 1669194064. It was assigned to this organization in the NPPES registry on September 13, 2022. The provider is doing business as My Custom Desire RX, Nirvana Hair RX and Nirvana Hair Studio.

Where is Nirvana Hair VA LLC located?

Nirvana Hair VA LLC is located at 10019 Jefferson Ave, Newport News, VA 23605. The listed phone number is (757) 254-7197.

What is Nirvana Hair VA LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Nirvana Hair VA LLC was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.