Diana Kimbal, NNP-BC | |
901 Harry S Truman Dr N, Largo, MD 20774-5477 | |
(240) 677-1000 | |
Not Available |
Full Name | Diana Kimbal |
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Gender | Female |
Speciality | Nurse Practitioner - Neonatal |
Location | 901 Harry S Truman Dr N, Largo, Maryland |
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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1780301853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WN0002X | Registered Nurse - Neonatal Intensive Care | 0001236200 (Virginia) | Secondary |
363LN0000X | Nurse Practitioner - Neonatal | AC005391 (Maryland) | Primary |
Entity Name | University Of Maryland Pediatric Associates, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528163912 PECOS PAC ID: 6800888678 Enrollment ID: O20040401000195 |
Mailing Address | Practice Location Address |
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Diana Kimbal, NNP-BC 10714 Norman Ave, Fairfax, VA 22030-2931 Ph: () - | Diana Kimbal, NNP-BC 901 Harry S Truman Dr N, Largo, MD 20774-5477 Ph: (240) 677-1000 |
Mr. Raymond Aseh Ofe, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Mercantile Ln Ste 200, Largo, MD 20774 Phone: 240-350-8841 | |
Okechukwu Matthew Ofodile, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 Harry S Truman Dr N, Largo, MD 20774 Phone: 240-677-2700 | |
Ms. Valerie May Stevens, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Lane, Largo, MD 20774 Phone: 301-618-5578 Fax: 301-618-5673 | |
Ms. Frances Justine Caffie-wright, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 Mccormick Dr, Prince George's County Health Department, Largo, MD 20774 Phone: 301-883-7887 Fax: 301-883-7896 | |
Jocelynn N Casselle, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Harry S Truman Dr N, Largo, MD 20774 Phone: 240-677-2420 | |
Ms. Brownhilda E Tanyi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Ln, Largo, MD 20774 Phone: 301-618-5500 Fax: 301-618-5000 | |
Mrs. Kumutha Flawrence Daniel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Mercantile Ln Ste 200h, Largo, MD 20774 Phone: 301-957-5451 Fax: 301-281-4002 |