Josephine Pangan Bolivar-kerns, NP | |
9299 Tower Side Dr Apt 438, Fairfax, VA 22031-6032 | |
(414) 939-6346 | |
Not Available |
Full Name | Josephine Pangan Bolivar-kerns |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 9299 Tower Side Dr Apt 438, Fairfax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013661347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024183581 (Virginia) | Primary |
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: O20050422000298 |
Mailing Address | Practice Location Address |
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Josephine Pangan Bolivar-kerns, NP 9299 Tower Side Dr Apt 438, Fairfax, VA 22031-6032 Ph: (414) 939-6346 | Josephine Pangan Bolivar-kerns, NP 9299 Tower Side Dr Apt 438, Fairfax, VA 22031-6032 Ph: (414) 939-6346 |
Lindsey Stanton, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10530 Rosehaven St Ste 100, Fairfax, VA 22030 Phone: 703-938-0363 Fax: 703-938-8653 | |
Hala D Mata, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3053 Nutley St, Fairfax, VA 22031 Phone: 703-560-4852 | |
Calvin Layne Iii, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10304 Eaton Pl Ste 100, Fairfax, VA 22030 Phone: 571-463-8620 Fax: 571-999-7549 | |
Jenni Jeanette Lorene Barnhizer, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3580 Joseph Siewick Dr Ste 205, Fairfax, VA 22033 Phone: 703-620-3211 Fax: 703-620-3215 | |
Natalia Castro, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12817 Hamlet Hill Way, Fairfax, VA 22030 Phone: 703-963-9033 | |
Erin Rudiak, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9401 Route 29, Fairfax, VA 22031 Phone: 703-383-4836 |