Provider Demographics
NPI:1942000179
Name:HALE, SHEILA RENEE
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:RENEE
Last Name:HALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1963 W PEMBROKE AVE APT 426
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23661-1937
Mailing Address - Country:US
Mailing Address - Phone:757-724-4099
Mailing Address - Fax:
Practice Address - Street 1:739 THIMBLE SHOALS BLVD STE 1009
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3576
Practice Address - Country:US
Practice Address - Phone:757-591-4838
Practice Address - Fax:757-596-2057
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator