Provider Demographics
NPI:1134877558
Name:HALE, ANGELA PATRICE (RN)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:PATRICE
Last Name:HALE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6353 CENTER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-4100
Mailing Address - Country:US
Mailing Address - Phone:561-486-8439
Mailing Address - Fax:
Practice Address - Street 1:500 SENTARA CIR STE 105
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-5754
Practice Address - Country:US
Practice Address - Phone:757-253-5653
Practice Address - Fax:757-378-2776
Is Sole Proprietor?:No
Enumeration Date:2022-03-15
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024184641367A00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife