Andrew Paul Mirviss, RD | |
3000 Coliseum Dr Ste 205, Hampton, VA 23666-5963 | |
(757) 827-2550 | |
Not Available |
Full Name | Andrew Paul Mirviss |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 3000 Coliseum Dr Ste 205, Hampton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851882773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | CDR (Virginia) | Primary |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
Provider Name | Sentara Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
Mailing Address | Practice Location Address |
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Andrew Paul Mirviss, RD 3000 Coliseum Dr Ste 205, Hampton, VA 23666-5963 Ph: (757) 827-2550 | Andrew Paul Mirviss, RD 3000 Coliseum Dr Ste 205, Hampton, VA 23666-5963 Ph: (757) 827-2550 |
Ms. Janelle Benzick, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr., Bldg 116- Nfs, Hampton, VA 23667 Phone: 757-722-9961 | |
Miss Priscilla Maureen Tuttle, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 | |
Courtney Leigh Sechler, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-772-9961 | |
Victoria Stutts, MS RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2610 E Pembroke Ave, Hampton, VA 23664 Phone: 757-303-9982 | |
Kathy Mildrew Moore, R. D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Nutrition And Food Service, Hampton, VA 23667 Phone: 757-722-9961 Fax: 757-728-3468 | |
Mrs. Loreen A. Paiva, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Veterans Affairs Medical Center, Hampton, VA 23667 Phone: 757-722-9961 Fax: 757-728-3468 | |
Deidra Campbell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 |