Individual
MRS. HELEN BALMACEDA DUDLEY BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
49 W MERCURY BLVD, HAMPTON, VA 23669-2508
(757) 269-9980
(757) 330-0770
Mailing address
49 W MERCURY BLVD, HAMPTON, VA 23669-2508
(757) 269-9980
(757) 330-0770
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
0001224788
VA
363LF0000X
Family Nurse Practitioner
Primary
0024177010
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017145636
LICENSE TO PRESCRIBE
VA
01
—
0024177010
NURSE PRACTITIONER
VA
Enumeration date
01/09/2019
Last updated
03/05/2025
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