Laletha Shabazz, PMHNP | |
1801 S Church St, Smithfield, VA 23430-1858 | |
(757) 793-9483 | |
Not Available |
Full Name | Laletha Shabazz |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1801 S Church St, Smithfield, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679284624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0001207047 (Virginia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024186473 (Virginia) | Primary |
Entity Name | Focused Psychiatric And Mental Health Care Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366082125 PECOS PAC ID: 8729409784 Enrollment ID: O20200528003158 |
Mailing Address | Practice Location Address |
---|---|
Laletha Shabazz, PMHNP 3511 Cardinal Ln, Portsmouth, VA 23703-3646 Ph: () - | Laletha Shabazz, PMHNP 1801 S Church St, Smithfield, VA 23430-1858 Ph: (757) 793-9483 |
Kelly Hughes, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14044 Track Ln, Smithfield, VA 23430 Phone: 804-824-5503 | |
Mrs. Katrina Jean Griffin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4338 Fort Huger Dr, Smithfield, VA 23430 Phone: 757-542-3888 | |
Mrs. Angela Marie Allen, PMHNP-BC, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1801 S Church St Ste 2, Smithfield, VA 23430 Phone: 757-793-9483 |