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NPI Code Detail

MEDICARE: MRS. HILDRETH MASON-LEON CERTIFIED NURSE PRAC

MEDICARE: MRS. HILDRETH MASON-LEON CERTIFIED NURSE PRAC
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
1363LP2300XPrimary Care Nurse Practitioner0024196643VA

General Provider Information

NPI Number : 1699621987
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HILDRETH MASON-LEON CERTIFIED NURSE PRAC
Provider Business Mailing Address
First Line : 2901 S LYNNHAVEN RD STE 450
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-8524
Country : US
Telephone Number : 757-685-8934
Fax Number :
Provider Business Practice Location Address
First Line : 2901 S LYNNHAVEN RD STE 450
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-8524
Country : US
Telephone Number : 757-685-8934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ MRS. HILDRETH MASON-LEON CERTIFIED NURSE PRAC” Practice Location

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