Individual provider · Type 1 NPI

Haise Reardon

Primary Care Nurse Practitioner · Norfolk, VA

NPI number 1851065684 Active

Practice location

208 E Plume St Ste 213
Norfolk, VA 23510-1757

Call (757) 359-5521 Map

Mailing address

2201 Wessington Dr
Virginia Beach, VA 23454-6350

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XAG08210024 (VA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1851065684

Haise Reardon's National Provider Identifier is 1851065684, issued on Aug 4, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Norfolk, VA. The record was last updated on Apr 6, 2023.