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Individual

HALEY BRUER FIELLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MMS, PA-C

Contact information

Practice address
1755 N MECKLENBURG AVE, SOUTH HILL, VA 23970-4080
(434) 447-3151
(434) 584-5023
Mailing address
1401 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
(865) 803-3773
(804) 483-6491

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008096
VA
363AM0700X
Medical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1179422
NCCPA ID
Enumeration date
09/01/2021
Last updated
07/09/2026
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