Ms Kristen Kennedy Blandford, NP-C | |
4002 Elton Way Ste 104, Greensboro, NC 27406-8973 | |
(336) 860-0981 | |
(336) 907-4714 |
Full Name | Ms Kristen Kennedy Blandford |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4002 Elton Way Ste 104, Greensboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972027373 | NPI | - | NPPES |
1257845 | Other | VA | VA BOARD OF NURSING |
5013634 | Other | NC | NC BOARD OF NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024175208 (Virginia) | Primary |
Entity Name | Tidewater Emergency Medical Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710991153 PECOS PAC ID: 4183538150 Enrollment ID: O20031113000834 |
Mailing Address | Practice Location Address |
---|---|
Ms Kristen Kennedy Blandford, NP-C 3814 Buncombe Dr, Greensboro, NC 27407-7326 Ph: (336) 860-0981 | Ms Kristen Kennedy Blandford, NP-C 4002 Elton Way Ste 104, Greensboro, NC 27406-8973 Ph: (336) 860-0981 |
Spenser Robert Beasley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Wendover Ave Ste 311, Greensboro, NC 27401 Phone: 336-272-6161 | |
Mrs. Natalie Metts Stroud, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1002 N Church St Ste 201, Greensboro, NC 27401 Phone: 336-378-0713 | |
Lindsi Ahearn, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Pisgah Church Rd, Greensboro, NC 27455 Phone: 336-716-9150 | |
Mr. Brian Anthony White, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410 Phone: 336-292-1510 | |
Mrs. Mariam Mangu Nantang, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 603 Dolley Madison Rd Ste 100, Greensboro, NC 27410 Phone: 336-632-3505 | |
Leni Abraham Daniel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3803 N Elm St, Greensboro, NC 27455 Phone: 919-949-0731 | |
Mrs. Dinah Chebotip Ngetich, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1309 N Elm St, Greensboro, NC 27401 Phone: 336-544-5400 |