Mrs Shannon Paige Wise, CNM | |
4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 | |
(703) 370-4300 | |
(703) 370-1683 |
Full Name | Mrs Shannon Paige Wise |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 4660 Kenmore Ave Ste 902, Alexandria, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558603977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 0024170771 (Virginia) | Primary |
Entity Name | Loudoun Medical Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474 |
Entity Name | The Physician And Midwife Collaborative Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386829794 PECOS PAC ID: 0648166405 Enrollment ID: O20201204001724 |
Mailing Address | Practice Location Address |
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Mrs Shannon Paige Wise, CNM 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 Ph: (703) 370-4300 | Mrs Shannon Paige Wise, CNM 4660 Kenmore Ave Ste 902, Alexandria, VA 22304-1306 Ph: (703) 370-4300 |
Brenda Perez, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4660 Kenmore Ave Ste 902, Alexandria, VA 22304 Phone: 703-370-4300 | |
Mrs. Elizabeth Caroline Robson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1501 King St, Alexandria, VA 22314 Phone: 703-549-5070 | |
Alice Bailes, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1501 King St, Alexandria, VA 22314 Phone: 703-549-5070 Fax: 703-549-4821 | |
Chloe Rios, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1501 King St, Alexandria, VA 22314 Phone: 703-549-5070 | |
Ms. Adela Evans Griswold, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4480 King St, Alexandria, VA 22302 Phone: 703-746-4923 Fax: 703-845-1362 | |
Mrs. Stephanie Anne Shaffer, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304 Phone: 703-370-4300 Fax: 703-370-1683 | |
Mrs. Martha Dunaway Weaver, C.N.M., R.N. Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1501 King St, Alexandria, VA 22314 Phone: 703-549-5070 Fax: 703-549-4821 |