Amanda Tully, FNP | |
1824 Murdoch Ave Bldg C, Parkersburg, WV 26101-3230 | |
(304) 916-1881 | |
Not Available |
Full Name | Amanda Tully |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1824 Murdoch Ave Bldg C, Parkersburg, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1790395069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | APRN106874 (West Virginia) | Primary |
Entity Name | St. Joseph Recovery Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174021406 PECOS PAC ID: 0042548000 Enrollment ID: O20190829000101 |
Entity Name | Grace Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376172494 PECOS PAC ID: 0941651947 Enrollment ID: O20240103004145 |
Mailing Address | Practice Location Address |
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Amanda Tully, FNP 1824 Murdoch Ave Bldg C, Parkersburg, WV 26101-3230 Ph: (304) 916-1881 | Amanda Tully, FNP 1824 Murdoch Ave Bldg C, Parkersburg, WV 26101-3230 Ph: (304) 916-1881 |
Christina Ann Swiger, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4002 Stella St, Parkersburg, WV 26104 Phone: 304-916-4379 | |
Mrs. Kelly Shawn Veroski, C-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 6th St, Parkersburg, WV 26101 Phone: 304-485-7374 | |
Mrs. Cheri Lyn Call, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3194 Core Rd, Parkersburg, WV 26104 Phone: 304-485-5185 Fax: 304-485-0051 | |
Megan Radcliff, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1512 36th St, Parkersburg, WV 26104 Phone: 304-944-9346 Fax: 304-944-3054 | |
Emily Toler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1907 Ann St, Parkersburg, WV 26101 Phone: 681-315-3100 | |
Kathleen T Hasse, RN CS FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2675 36th St, Parkersburg, WV 26104 Phone: 304-422-8112 Fax: 304-422-3924 | |
Sandra Ellen Swisher, FNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Stephenson Avenue, Parkersburg, WV 26101 Phone: 304-420-5819 Fax: 304-422-8850 |