Dorothy T Tadder, FNP | |
1168 First Colonial Rd, Virginia Beach, VA 23454-2426 | |
(757) 352-2030 | |
(757) 352-2031 |
Full Name | Dorothy T Tadder |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1168 First Colonial Rd, Virginia Beach, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700075926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0001129999 (Virginia) | Primary |
Entity Name | Minor Emergency And Family Care Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457641540 PECOS PAC ID: 4688852395 Enrollment ID: O20110628000912 |
Mailing Address | Practice Location Address |
---|---|
Dorothy T Tadder, FNP 3241 Western Branch Blvd, Chesapeake, VA 23321-5260 Ph: (757) 686-3508 | Dorothy T Tadder, FNP 1168 First Colonial Rd, Virginia Beach, VA 23454-2426 Ph: (757) 352-2030 |
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