Mrs Wendy Robin Old, FNP | |
1380 Tuscany Dr, Virginia Beach, VA 23456-7751 | |
(757) 301-9230 | |
(757) 275-9796 |
Full Name | Mrs Wendy Robin Old |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 29 Years |
Location | 1380 Tuscany Dr, Virginia Beach, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164647699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024124697 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
Sentara Leigh Hospital | Norfolk, VA | Hospital |
Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Sept, Llc | 7911990908 | 1173 |
Sentara Medical Group | 8921903923 | 1091 |
Entity Name | Sentara Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
Mailing Address | Practice Location Address |
---|---|
Mrs Wendy Robin Old, FNP 309 Tarpon Ln, Virginia Beach, VA 23456-4642 Ph: (757) 426-1448 | Mrs Wendy Robin Old, FNP 1380 Tuscany Dr, Virginia Beach, VA 23456-7751 Ph: (757) 301-9230 |
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