Kathleen Ann Tyson, | |
14701 Lee Hwy Ste 303, Centreville, VA 20121-2135 | |
(703) 830-4388 | |
Not Available |
Full Name | Kathleen Ann Tyson |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 14701 Lee Hwy Ste 303, Centreville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538642426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 0024177081 (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 |
Entity Name | Neda Hashemi Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033385026 PECOS PAC ID: 6406184613 Enrollment ID: O20190918001244 |
Mailing Address | Practice Location Address |
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Kathleen Ann Tyson, 14701 Lee Hwy Ste 303, Centreville, VA 20121-2135 Ph: () - | Kathleen Ann Tyson, 14701 Lee Hwy Ste 303, Centreville, VA 20121-2135 Ph: (703) 830-4388 |
Alexa Alvey Flowers, CNM, MSN, C-EFM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 14701 Route 29 Ste 303, Centreville, VA 20121 Phone: 703-830-4388 | |
Mary E Harris, APRN, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 14701 Route 29 Ste 303, Centreville, VA 20121 Phone: 703-830-4388 Fax: 703-830-4188 | |
Shadonna Williams, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 14701 Lee Hwy Ste 303, Centreville, VA 20121 Phone: 703-830-4388 |