Mrs Clarice Nichole Wardlaw, CNM | |
3333 Station House Rd Ste B, Chesapeake, VA 23321-2515 | |
(833) 526-4448 | |
(757) 859-0007 |
Full Name | Mrs Clarice Nichole Wardlaw |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 3333 Station House Rd Ste B, Chesapeake, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972694735 | NPI | - | NPPES |
175627201 | Medicaid | TX | |
1972694735 | Medicaid | VA | |
MW0175 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 0024177177 (Virginia) | Primary |
Entity Name | Sentara Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
Mailing Address | Practice Location Address |
---|---|
Mrs Clarice Nichole Wardlaw, CNM 3590 Towne Point Rd Unit 6791, Portsmouth, VA 23703-1339 Ph: (757) 439-7406 | Mrs Clarice Nichole Wardlaw, CNM 3333 Station House Rd Ste B, Chesapeake, VA 23321-2515 Ph: (833) 526-4448 |
Cynthia L. Wylie, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3217 Western Branch Blvd Ste B, Chesapeake, VA 23321 Phone: 757-774-6790 Fax: 888-764-2501 | |
Katherine Elizabeth Schultz, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 667 Kingsborough Sq Ste 200, Chesapeake, VA 23320 Phone: 757-436-0167 Fax: 757-548-5277 | |
Jennifer Bernabe-tobin, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 824 Greenbrier Pkwy Ste 100, Chesapeake, VA 23320 Phone: 757-410-7390 | |
Mrs. Rhonda J. Bertholf, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 612 Kingsborough Square, Suite 200, Chesapeake, VA 23320 Phone: 757-436-0167 Fax: 757-549-1767 | |
Wendy Ann Graefe, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 817 Greenbrier Pkwy Ste B, Chesapeake, VA 23320 Phone: 757-548-2800 Fax: 757-548-9581 | |
Mrs. Ashley Loretta Mirmak, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 824 Greenbrier Pkwy Ste 100, Chesapeake, VA 23320 Phone: 757-410-7390 Fax: 757-410-7395 |