HAMPTON ROADS WELLNESS CENTER LLC NPI 1164017752

NPI Information

NPI: 1164017752
Provider Name: HAMPTON ROADS WELLNESS CENTER LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 49D2247795

Address:
1328 E PEMBROKE AVE
HAMPTON, VA
ZIP 23669
Phone: (757) 904-3319
Get Directions

HAMPTON ROADS WELLNESS CENTER LLC is a family nurse practitioner in Hampton, VA. HAMPTON ROADS WELLNESS CENTER LLC NPI is 1164017752. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1328 E PEMBROKE AVE
HAMPTON, VA
ZIP 23669-445
Phone: (757) 904-3319
Fax: (833) 301-0790

The provider's authorized official is Winter Melvin .
The authorized official title is Owner/operator and has the following contact phone number (757) 904-3319.

The CLIA number assigned to this NPI record is 49D2247795 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2021 and was last updated on 5/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care			No
2	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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