Organization
ASSOCIATES IN PEDIATRIC CARE-HAMPTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MACY STAPLETON PPCNP-BC (OWNER)
(540) 931-7340
Entity
Organization
Contact information
Practice address
2101 EXECUTIVE DR STE 160, HAMPTON, VA 23666-3089
(757) 838-8166
(757) 838-8233
Mailing address
2101 EXECUTIVE DR STE 160, HAMPTON, VA 23666-3089
(757) 838-8166
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538442694
—
VA
Enumeration date
02/05/2020
Last updated
07/03/2020
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