Ms Mary Kathleen Long, FNP-BC | |
1 Arh Lane, Suite 800, Low Moor, VA 24457 | |
(540) 862-6750 | |
Not Available |
Full Name | Ms Mary Kathleen Long |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1 Arh Lane, Low Moor, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659939387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN68963NP (West Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024177591 (Virginia) | Primary |
Entity Name | Patricia W Henderson Do Pc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508059429 PECOS PAC ID: 9537231345 Enrollment ID: O20080710000207 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Kathleen Long, FNP-BC 1 Arh Lane, Suite 800, Low Moor, VA 24457 Ph: (540) 862-6750 | Ms Mary Kathleen Long, FNP-BC 1 Arh Lane, Suite 800, Low Moor, VA 24457 Ph: (540) 862-6750 |
Shannon Green Johnston, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Arh Lane, Suite 100, Low Moor, VA 24457 Phone: 540-862-6777 Fax: 540-863-9167 | |
Kimberly N Moyers, RN, MSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Arh Lane, Suite 800, Low Moor, VA 24457 Phone: 540-862-6750 Fax: 540-862-3742 | |
Kristy Karas, NP, RXN, CNS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Arh Lane, Suite 202a, Low Moor, VA 24457 Phone: 540-862-2021 | |
Tara M Spence, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Arh Ln., Low Moor, VA 24457 Phone: 540-862-7064 Fax: 540-862-5727 | |
Demetria Shawnte Bates, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Arh Lane, Suite 400, Low Moor, VA 24457 Phone: 540-862-7064 Fax: 540-862-5727 |