Mrs Tiffani Cheree Pendleton, NP-C | |
17507 Tree View Ct, Moseley, VA 23120-2257 | |
(240) 538-8624 | |
Not Available |
Full Name | Mrs Tiffani Cheree Pendleton |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 17507 Tree View Ct, Moseley, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548865025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024180118 (Virginia) | Primary |
Entity Name | Columbia Healthcare Of Central Virginia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417946450 PECOS PAC ID: 9234118340 Enrollment ID: O20041203000047 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tiffani Cheree Pendleton, NP-C 17507 Tree View Ct, Moseley, VA 23120-2257 Ph: (240) 538-8624 | Mrs Tiffani Cheree Pendleton, NP-C 17507 Tree View Ct, Moseley, VA 23120-2257 Ph: (240) 538-8624 |
Elaheh Bani Ahmad, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8425 Hampton Farms Dr, Moseley, VA 23120 Phone: 180-493-3287 | |
Cindy Yvonne Martinez-kilgo, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16712 Hampton Farms Ct, Moseley, VA 23120 Phone: 804-337-2862 | |
Jayasudha Paramasivam, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16808 Thornapple Run, Moseley, VA 23120 Phone: 804-926-7975 |