Unknown Individual – Nurse Practitioner, NPI 1093763955
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Petersburg County Health Clinic, 301, Halifax Street, Heights, Petersburg, Virginia, 23803, United States
PETERSBURG, VA 238036335
Phone: (804) 863-1652
Fax: (804) 862-6126
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23803)
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