Eccentric Minds Health And Wellness Pllc | |
735 Thimble Shoals Blvd Ste 130 Newport News VA 23606-4428 | |
(757) 333-0175 | |
Not Available |
Full Name | Eccentric Minds Health And Wellness Pllc |
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Speciality | Nurse Practitioner |
Location | 735 Thimble Shoals Blvd Ste 130, Newport News, Virginia |
Authorized Official Name and Position | Nadia Dotrice Horton (OWNER) |
Authorized Official Contact | 7573330175 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Eccentric Minds Health And Wellness Pllc 735 Thimble Shoals Blvd Ste 130 Newport News VA 23606-4428 Ph: (757) 333-0175 | Eccentric Minds Health And Wellness Pllc 735 Thimble Shoals Blvd Ste 130 Newport News VA 23606-4428 Ph: (757) 333-0175 |
NPI Number | 1639821572 |
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Provider Enumeration Date | 01/21/2022 |
Last Update Date | 07/21/2023 |
Certification Date | 07/21/2023 |
Medicare PECOS PAC ID | 0143607127 |
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Medicare Enrollment ID | O20220512001140 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639821572 | NPI | - | NPPES |
Provider Name | Nadia D Horton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114473816 PECOS PAC ID: 2466736152 Enrollment ID: I20170223002318 |
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