Healthcare Provider Details

I. General information

NPI: 1285117044
Provider Name (Legal Business Name): MELISSA ANN HALE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELISSA ANN LITTLE RN, NP

II. Dates (important events)

Enumeration Date: 09/07/2018
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 E MAIN ST SUITE 310 BOX 213
RICHMOND VA
23219
US

IV. Provider business mailing address

1011 E MAIN ST SUITE 310 BOX 213
RICHMOND VA
23219
US

V. Phone/Fax

Practice location:
  • Phone: 804-324-3924
  • Fax:
Mailing address:
  • Phone: 804-324-3924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number0024176380
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024176380
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: