HAMPTON ROADS PATH TO WELLNESS CENTER LLC NPI 1265182679

NPI Information

  • NPI: 1265182679
  • Provider Name: HAMPTON ROADS PATH TO WELLNESS CENTER, LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 367 MANNING LN
    HAMPTON, VA
    ZIP 23666
  • Phone: (757) 405-6060

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NPI Details

HAMPTON ROADS PATH TO WELLNESS CENTER, LLC is a primary care nurse practitioner in Hampton, VA. HAMPTON ROADS PATH TO WELLNESS CENTER, LLC NPI is 1265182679. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

367 MANNING LN
HAMPTON, VA
ZIP 23666-024
Phone: (757) 405-6060

The provider's authorized official is Kimberly Denese Mckissack .
The authorized official title is Np and has the following contact phone number (615) 569-1661.

The enumeration date for this NPI number is 3/28/2022 and was last updated on 3/28/2022.

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
1363LP2300XNurse PractitionerPrimary CareYes

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: 11/21/2025

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