Carmen B Ayala, | |
7617 Little River Tpke, Suite 710, Annandale, VA 22003-2603 | |
(703) 941-0267 | |
Not Available |
Full Name | Carmen B Ayala |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 7617 Little River Tpke, Annandale, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649426750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024167945 (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: O20050422000298 |
Mailing Address | Practice Location Address |
---|---|
Carmen B Ayala, 7617 Little River Tpke, Suite 710, Annandale, VA 22003-2603 Ph: () - | Carmen B Ayala, 7617 Little River Tpke, Suite 710, Annandale, VA 22003-2603 Ph: (703) 941-0267 |
Dr. James Gavin Wallace-mercado, DNP, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4540b John Marr Dr, Annandale, VA 22003 Phone: 703-941-6757 | |
Stacey L Merritt Baker, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6923 Colburn Dr, Annandale, VA 22003 Phone: 571-730-0332 | |
Ms. Carmella Simmons, MS RN FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7215 Jayhawk St, Annandale, VA 22003 Phone: 703-914-0222 | |
Rachel Schwartz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7305 Beverly Manor Dr, Annandale, VA 22003 Phone: 703-869-2645 | |
Mrs. Mary Patricia White, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7611 Little River Tpke, Suite 108, Annandale, VA 22003 Phone: 703-658-7060 Fax: 703-658-3150 | |
Brenda Holbrook, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4405 Roberts Ave, Annandale, VA 22003 Phone: 703-914-1055 | |
Nvard Hovsepyan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7132 Degroff Ct, Annandale, VA 22003 Phone: 571-265-5851 |