Deborah Edwards Davis, CPNP | |
1802 Braeburn Dr, Salem, VA 24153-7357 | |
(540) 772-3580 | |
(540) 725-5012 |
Full Name | Deborah Edwards Davis |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1802 Braeburn Dr, Salem, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053715318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 0024172083 (Virginia) | Primary |
Entity Name | Lewis Gale Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902977705 PECOS PAC ID: 6507886231 Enrollment ID: O20051128000164 |
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 |
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Deborah Edwards Davis, CPNP Po Box 457, Wvva Health Care Alliance Pc, White Sulphur Springs, WV 24986-0457 Ph: (304) 536-5030 | Deborah Edwards Davis, CPNP 1802 Braeburn Dr, Salem, VA 24153-7357 Ph: (540) 772-3580 |
Tanya Willard, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Mrs. Elizabeth Black O'connor, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Megan Smith, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3580 | |
Matthew Bailey, ACNP, FNP, ENP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-776-4000 | |
Mrs. Greta Pablo Estacio, RN,MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-224-1937 | |
Miss Kimberly Charise Martin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3400 |