Amanda Mitchell Hale, FNP-C | |
829 Davis St, Blacksburg, VA 24060-7013 | |
(540) 443-3940 | |
Not Available |
Full Name | Amanda Mitchell Hale |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 829 Davis St, Blacksburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053937755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024179516 (Virginia) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Amanda Mitchell Hale, FNP-C 4088 Dry Valley Rd, Radford, VA 24141-6210 Ph: (540) 616-4208 | Amanda Mitchell Hale, FNP-C 829 Davis St, Blacksburg, VA 24060-7013 Ph: (540) 443-3940 |
Gwendolyn Williams Spangler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Research Center Dr # A, Blacksburg, VA 24060 Phone: 540-381-5291 | |
Theresa Ann Buchanan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Charles W Schiffert Health Ctr, Mccomas Hall, Blacksburg, VA 24061 Phone: 540-231-5313 Fax: 540-231-7473 | |
Mrs. Kristie Lynn Jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 South Main Street, Blacksburg, VA 24060 Phone: 540-953-5385 | |
Susan I Gaither, RNCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3708 S Main St, Blacksburg, VA 24060 Phone: 540-951-3376 Fax: 540-951-1276 | |
Christina Rice, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2617 Sheffield Dr, Blacksburg, VA 24060 Phone: 540-953-2210 Fax: 540-951-9112 | |
Jessica L Fultz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 Davis St, Blacksburg, VA 24060 Phone: 540-961-0218 |