Provider Demographics
NPI:1447969605
Name:D.A.C. HEALTH
Entity type:Organization
Organization Name:D.A.C. HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MISHII
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMLOR
Authorized Official - Suffix:
Authorized Official - Credentials:AGNP
Authorized Official - Phone:804-248-0235
Mailing Address - Street 1:7501 LADY BLAIR LN UNIT 74935
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-5042
Mailing Address - Country:US
Mailing Address - Phone:804-248-0235
Mailing Address - Fax:
Practice Address - Street 1:4801 NEWBYS MILL TER
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-7875
Practice Address - Country:US
Practice Address - Phone:804-248-0235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty