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NPI Code Detail

MEDICARE: MRS. MELISSA ANN HALE NP

MEDICARE:  MRS. MELISSA ANN HALE  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner0024176380VA
2363LP2300XPrimary Care Nurse Practitioner0024176380VA

General Provider Information

NPI Number : 1285117044
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA ANN HALE NP
Provider Business Mailing Address
First Line : 2807 N PARHAM RD STE 300
Second Line :
City : HENRICO
State : VA
Zip : 23294-4414
Country : US
Telephone Number : 804-261-2090
Fax Number :
Provider Business Practice Location Address
First Line : 2807 N PARHAM RD STE 300
Second Line :
City : HENRICO
State : VA
Zip : 23294-4414
Country : US
Telephone Number : 804-261-2090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2018
Last Update Date : 06/23/2022

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Directions to “ MRS. MELISSA ANN HALE NP” Practice Location

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