Individual
AMANDA MITCHELL HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
829 DAVIS ST, BLACKSBURG, VA 24060-7013
(540) 443-3940
Mailing address
4088 DRY VALLEY RD, RADFORD, VA 24141-6210
(540) 616-4208
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179516
VA
Other
Enumeration date
06/19/2020
Last updated
06/29/2020
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