Michon Blowe, PMHNP-BC | |
7639 Hull Street Rd Ste 103, North Chesterfield, VA 23235-6438 | |
(804) 479-3113 | |
(804) 451-9328 |
Full Name | Michon Blowe |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 7639 Hull Street Rd Ste 103, North Chesterfield, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083091656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0001209359 (Virginia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024189247 (Virginia) | Primary |
Entity Name | Legacy Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902149776 PECOS PAC ID: 0042458200 Enrollment ID: O20130529000542 |
Entity Name | Renewal Counseling & Consulting Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235647041 PECOS PAC ID: 1759642952 Enrollment ID: O20180811000345 |
Entity Name | Legacy Care Aco Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538844857 PECOS PAC ID: 3274996426 Enrollment ID: O20230906000290 |
Mailing Address | Practice Location Address |
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Michon Blowe, PMHNP-BC 19711 English Wells Way Apt 202, Chester, VA 23831-7877 Ph: (804) 735-8477 | Michon Blowe, PMHNP-BC 7639 Hull Street Rd Ste 103, North Chesterfield, VA 23235-6438 Ph: (804) 479-3113 |
Ms. Stephanie Fowlkes Sill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 Johnston Willis Dr Ste 200, North Chesterfield, VA 23235 Phone: 804-288-2742 Fax: 804-288-9053 | |
Archelle Johnson, AG-PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Buford Rd Ste B111, North Chesterfield, VA 23235 Phone: 804-878-0942 Fax: 888-556-8809 | |
Mackenzie Delane Hahn, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8110 Midlothian Tpke, North Chesterfield, VA 23235 Phone: 804-320-8160 | |
Caitlin Renee Halpin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Boulders Pkwy Ste 101, North Chesterfield, VA 23225 Phone: 804-320-4243 Fax: 804-622-0552 | |
Arlyn Pericano Salabao, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Johnston Willis Dr, North Chesterfield, VA 23235 Phone: 804-483-6063 | |
Sara Marie Perran, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Wadsworth Dr, North Chesterfield, VA 23236 Phone: 804-285-8206 | |
Ashley M. Shoultz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Turner Rd Ste D-h, North Chesterfield, VA 23225 Phone: 540-202-2554 |