Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nirvana Hair VA LLC

Organization Prosthetic/Orthotic Supplier · NPI 1669194064

Nirvana Hair VA LLC is a Prosthetic/Orthotic Supplier in Newport News, Virginia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10019 Jefferson Ave
Newport News, VA 23605-1044
Phone: (757) 254-7197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1669194064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maree Newby-Sanders — President · (757) 254-7197
Other names My Custom Desire Rx; Nirvana Hair Rx; Nirvana Hair Studio
NPI enumeratedSeptember 13, 2022
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022
Mailing address10019 Jefferson Ave, Newport News, VA 23605-1044

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