Mrs Fafa Isabel Nyirenda, is a
Pediatrics physician based in Prince George, Virginia. Mrs Fafa Isabel Nyirenda is licensed to practice in Virginia (license number 0101252178) and her current practice location is 2035 Waterside Rd, Suite 105, Prince George, Virginia. She can be reached at her office (for appointments etc.) via phone at
(901) 491-3101.
NPI number for Mrs Fafa Isabel Nyirenda is 1255565750 and her current mailing address is 2035 Waterside Rd, Suite 105, Prince George, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255565750.
Physician's Profile
| Full Name | Mrs Fafa Isabel Nyirenda |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 2035 Waterside Rd, Prince George, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255565750
- Provider Enumeration Date: 05/12/2009
- Last Update Date: 10/01/2012
Medical Identifiers
Medical identifiers for Mrs Fafa Isabel Nyirenda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255565750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 0101252178 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Fafa Isabel Nyirenda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Fafa Isabel Nyirenda,
2035 Waterside Rd, Suite 105,
Prince George, VA 23875-1265
Ph: (901) 491-3101 | Mrs Fafa Isabel Nyirenda,
2035 Waterside Rd, Suite 105,
Prince George, VA 23875-1265
Ph: (901) 491-3101 |
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