Ginger Pettengill Richardson, NP | |
16681 Puller Highway, Deltaville, VA 23043 | |
(804) 776-8000 | |
(804) 776-6277 |
Full Name | Ginger Pettengill Richardson |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 16681 Puller Highway, Deltaville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417114638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0001205470 (Virginia) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 0024167776 (Virginia) | Primary |
Entity Name | Page Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326040684 PECOS PAC ID: 8426951203 Enrollment ID: O20040129000420 |
Mailing Address | Practice Location Address |
---|---|
Ginger Pettengill Richardson, NP 856 J Clyde Morris Blvd, Ste A, Newport News, VA 23601-1318 Ph: (757) 594-4006 | Ginger Pettengill Richardson, NP 16681 Puller Highway, Deltaville, VA 23043 Ph: (804) 776-8000 |
Carla Rae Rothmann, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 916, Deltaville, VA 23043 Phone: 804-776-8000 Fax: 804-776-6211 | |
Tamara Stephens, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16681 Puller Highway, Deltaville, VA 23043 Phone: 804-776-8000 | |
Tammy Oliver Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16681 Puller Highway, Deltaville, VA 23043 Phone: 804-776-8000 Fax: 804-776-6211 | |
Martha Edwards Hart, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16681 General Puller Hwy, Deltaville, VA 23043 Phone: 804-776-8000 Fax: 804-776-6211 |