Latricia Broaddus, | |
5833 Richmond Tappahannock Hwy Ste 106b, Aylett, VA 23009-3007 | |
(042) 230-0298 | |
Not Available |
Full Name | Latricia Broaddus |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 5833 Richmond Tappahannock Hwy Ste 106b, Aylett, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003383688 | NPI | - | NPPES |
0732762767 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024181570 (Virginia) | Primary |
253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Its All About Caring Llc | 3375911548 | 2 |
Entity Name | Its All About Caring Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548995913 PECOS PAC ID: 3375911548 Enrollment ID: O20221118001049 |
Mailing Address | Practice Location Address |
---|---|
Latricia Broaddus, Po Box 13, Saint Stephens Church, VA 23148-0013 Ph: (804) 664-2271 | Latricia Broaddus, 5833 Richmond Tappahannock Hwy Ste 106b, Aylett, VA 23009-3007 Ph: (042) 230-0298 |
Mrs. Molly Baldwin Massey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4917 Richmond Tappahannock Hwy Ste 1b, Aylett, VA 23009 Phone: 804-769-1245 Fax: 804-769-1342 | |
Sara Eleanor Hooper Majewski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4917 Richmond Tappahannock Hwy Ste 1b, King William Medical Center, Aylett, VA 23009 Phone: 804-769-1245 Fax: 804-769-1342 | |
Phyllis R. Sykes, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11814 King William Rd, Aylett, VA 23009 Phone: 804-769-3022 Fax: 804-769-1253 | |
Andrea Garrett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4917 Richmond Tappahannock Hwy Ste 1b, Aylett, VA 23009 Phone: 804-769-1245 | |
Britten White, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 359 Laurel Dr, Aylett, VA 23009 Phone: 804-885-0565 | |
Angel Daniels, DNP, FNP-BC, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4917 Richmond Tappahannock Hwy Ste 18, Aylett, VA 23009 Phone: 804-769-1245 |