Individual
MELISSA BANKS CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
600 GRESHAM DR STE 8600, NORFOLK, VA 23507-1904
(757) 388-6005
(757) 388-6006
Mailing address
600 GRESHAM DR STE 8600, NORFOLK, VA 23507-1904
(757) 388-6005
(757) 388-6006
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024170167
VA
Other
Enumeration date
07/12/2012
Last updated
01/07/2022
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