Miranda Micucci, MSN, APRN, FNP-BC | |
535 Westfield Rd Ste 200, Charlottesville, VA 22901-1870 | |
(434) 973-4040 | |
Not Available |
Full Name | Miranda Micucci |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 535 Westfield Rd Ste 200, Charlottesville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437882537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0001269663 (Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024184617 (Virginia) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
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Miranda Micucci, MSN, APRN, FNP-BC 535 Westfield Rd Ste 200, Charlottesville, VA 22901-1870 Ph: () - | Miranda Micucci, MSN, APRN, FNP-BC 535 Westfield Rd Ste 200, Charlottesville, VA 22901-1870 Ph: (434) 973-4040 |
Norma Branham, R.N., N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2047 | |
Neil Peterson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-0075 | |
Joy R Miller, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-2617 | |
Rebecca L Hand, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-982-1100 | |
Megan E. Kingdon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-9400 Fax: 434-982-1618 | |
Mrs. Stephanie Richardson Wilhelm, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Martha Jefferson Dr, Charlottesville, VA 22911 Phone: 434-654-7150 | |
Kimberly Conrad, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Lee St, Charlottesville, VA 22908 Phone: 434-924-9333 Fax: 434-244-7526 |