Maureen Minter Puckett, NNP | |
3300 Rivermont Ave, Lynchburg, VA 24503 | |
(434) 200-5621 | |
Not Available |
Full Name | Maureen Minter Puckett |
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Gender | Female |
Speciality | Nurse Practitioner - Neonatal |
Location | 3300 Rivermont Ave, Lynchburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962720037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0001194391 (Virginia) | Secondary |
363LN0000X | Nurse Practitioner - Neonatal | 0024168397 (Virginia) | Primary |
Entity Name | Centra Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
Mailing Address | Practice Location Address |
---|---|
Maureen Minter Puckett, NNP 3300 Rivermont Ave, Lynchburg, VA 24503 Ph: (434) 200-5621 | Maureen Minter Puckett, NNP 3300 Rivermont Ave, Lynchburg, VA 24503 Ph: (434) 200-5621 |
Carrie Gunn Turner, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Rivermont Ave, Intensive Care Nursery, Lynchburg, VA 24503 Phone: 434-200-5735 Fax: 434-200-4590 | |
Magen Calland, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-200-4651 | |
Dianne White, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 Archway Ct, Lynchburg, VA 24502 Phone: 434-237-3664 | |
Amy Leigh Stowers, RN MSN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Nationwide Dr, Suite A, Lynchburg, VA 24502 Phone: 434-384-1862 Fax: 434-384-7704 | |
Melissa Bond, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 113 Wiggington Rd Ste A, Lynchburg, VA 24502 Phone: 434-509-9595 | |
Melody Beth Brown, F.N.P-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2215 Landover Pl, Lynchburg, VA 24501 Phone: 434-947-3944 Fax: 866-617-8273 | |
Stephanie Lane Porter, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-200-5999 |