Individual
MRS. MELISSA WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
880 KEMPSVILLE RD STE 2200, NORFOLK, VA 23502-3990
(757) 466-6350
Mailing address
3720 HOLLAND RD, SUITE 101, VIRGINIA BEACH, VA 23452-2859
(757) 463-1234
(757) 463-0453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0024166264
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
0024166264
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010148936
—
VA
Enumeration date
08/03/2006
Last updated
12/13/2022
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