Organization · Type 2 NPI

Haven Rise Health Care

Primary Care Nurse Practitioner · Hampton, VA

NPI number 1962332189 Active

Practice location

1702 Todds Ln Ste 305
Hampton, VA 23666-3199

Fax (904) 372-6121

Mailing address

4760 Bishops Gate Way
Providence Forge, VA 23140-4438

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

2 other providers at this address

Other primary care nurse practitioner providers in Hampton

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About NPI 1962332189

Haven Rise Health Care's National Provider Identifier is 1962332189, issued on May 20, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Hampton, VA. The record was last updated on Sep 11, 2026.