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1015 Eden Way N Ste A Chesapeake VA 23320-2787 | |
(757) 297-6750 | |
(757) 609-3743 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1015 Eden Way N Ste A, Chesapeake, Virginia |
Authorized Official Name and Position | Laura Melsheimer (OWNER/NURSE PRACTITIONER) |
Authorized Official Contact | 7572976750 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1015 Eden Way N Ste A Chesapeake VA 23320-2787 Ph: (812) 329-9126 | 1015 Eden Way N Ste A Chesapeake VA 23320-2787 Ph: (757) 297-6750 |
NPI Number | 1740056894 |
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Provider Enumeration Date | 11/29/2023 |
Last Update Date | 10/07/2024 |
Medicare PECOS PAC ID | 4587101126 |
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Medicare Enrollment ID | O20240801000263 |
Identifier | Type | State | Issuer |
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1740056894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Laura E Melsheimer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750928586 PECOS PAC ID: 1052732344 Enrollment ID: I20200521001532 |
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