Gladys Brown, | |
420 Stonecrest Dr, Woodstock, VA 22664-1964 | |
(703) 310-9245 | |
Not Available |
Full Name | Gladys Brown |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 420 Stonecrest Dr, Woodstock, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689240228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 0024181491 (Virginia) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 0024181491 (Virginia) | Primary |
Entity Name | Klinic Medical Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740980630 PECOS PAC ID: 1456716976 Enrollment ID: O20231114001201 |
Mailing Address | Practice Location Address |
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Gladys Brown, 420 Stonecrest Dr, Woodstock, VA 22664-1964 Ph: (703) 310-9245 | Gladys Brown, 420 Stonecrest Dr, Woodstock, VA 22664-1964 Ph: (703) 310-9245 |
Alicia Marie Smootz, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 759 S Main St, Woodstock, VA 22664 Phone: 540-459-1175 Fax: 540-459-1153 | |
Amanda Kimberly Ross, AG-ANCP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 S Main St, Woodstock, VA 22664 Phone: 540-333-4504 | |
Ms. Barbara Preston Brennan, ND, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 755 S Main St, Woodstock, VA 22664 Phone: 540-459-1262 | |
Tiffany Marie Judd-alishauskas, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 759 S Main St, Woodstock, VA 22664 Phone: 540-459-1100 | |
Jennifer Mooney, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Shenandoah St, Woodstock, VA 22664 Phone: 540-459-8000 | |
Mrs. Lisa Mae Reedy, FNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 803 S Main St, Woodstock, VA 22664 Phone: 540-345-3556 Fax: 540-342-2193 | |
Dr. Nancye Danielle Lutman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 759 S Main St, Woodstock, VA 22664 Phone: 540-459-1325 |