Individual
KRISTLE MELISSA GLAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2104 EXECUTIVE DR, HAMPTON, VA 23666-2402
(757) 736-3700
Mailing address
2104 EXECUTIVE DR, HAMPTON, VA 23666-2402
(757) 736-3700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024176322
VA
363LF0000X
Family Nurse Practitioner
Primary
0024176322
VA
Other
Enumeration date
07/16/2018
Last updated
10/29/2024
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