Lietzle Ann Ford, FNP-C | |
28 Abby Rd, Palmyra, VA 22963-2085 | |
(540) 661-2533 | |
Not Available |
Full Name | Lietzle Ann Ford |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 28 Abby Rd, Palmyra, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184199598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024176660 (Virginia) | Primary |
207Q00000X | Family Medicine | 0024176660 (Virginia) | Secondary |
Entity Name | Minuteclinic Diagnostic Of Virginia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417076829 PECOS PAC ID: 6709960891 Enrollment ID: O20080228000067 |
Mailing Address | Practice Location Address |
---|---|
Lietzle Ann Ford, FNP-C 28 Abby Rd, Palmyra, VA 22963-2085 Ph: (434) 589-2278 | Lietzle Ann Ford, FNP-C 28 Abby Rd, Palmyra, VA 22963-2085 Ph: (540) 661-2533 |
Jennifer Bucknam, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28 Abby Rd, Palmyra, VA 22963 Phone: 434-589-2278 | |
Tali Omari, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 Green Ct, Palmyra, VA 22963 Phone: 929-435-9261 | |
Mrs. Lissette Kinsella, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 Market St Ste E, Palmyra, VA 22963 Phone: 434-589-9030 Fax: 434-589-9040 | |
Dr. Jessica Lee Digiorgio, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2611 Thomas Jefferson Pkwy, Palmyra, VA 22963 Phone: 434-423-4311 | |
Jessica Lynn Harlow, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33 Rebecca Dr, Palmyra, VA 22963 Phone: 434-654-4680 | |
Vicky Byrne Generelly, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5766 Thomas Jefferson Pkwy, Palmyra, VA 22963 Phone: 434-591-1314 Fax: 434-591-1317 |