Organization
HAVEN RISE HEALTH CARE
Active
Organization
HAVEN RISE HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLITA LEWIS (PRESIDENT)
(804) 773-9008
Entity
Organization
Contact information
Practice address
1702 TODDS LN STE 345, HAMPTON, VA 23666-3209
(804) 773-9008
Mailing address
4760 BISHOPS GATE WAY, PROVIDENCE FORGE, VA 23140-4438
(804) 773-9008
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
Update your record
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