Ms Regina Kirwan Wardwell, CRNP | |
124 Valley Vista Dr, Woodstock, VA 22664-1608 | |
(828) 989-1310 | |
Not Available |
Full Name | Ms Regina Kirwan Wardwell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 124 Valley Vista Dr, Woodstock, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841376696 | NPI | - | NPPES |
7000731 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024173609 (Virginia) | Primary |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Ms Regina Kirwan Wardwell, CRNP 124 Valley Vista Dr, Woodstock, VA 22664-1608 Ph: (828) 989-1310 | Ms Regina Kirwan Wardwell, CRNP 124 Valley Vista Dr, Woodstock, VA 22664-1608 Ph: (828) 989-1310 |
Alicia Marie Smootz, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 759 S Main St, Woodstock, VA 22664 Phone: 540-459-1175 Fax: 540-459-1153 | |
Amanda Kimberly Ross, AG-ANCP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 S Main St, Woodstock, VA 22664 Phone: 540-333-4504 | |
Ms. Barbara Preston Brennan, ND, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 755 S Main St, Woodstock, VA 22664 Phone: 540-459-1262 | |
Tiffany Marie Judd-alishauskas, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 759 S Main St, Woodstock, VA 22664 Phone: 540-459-1100 | |
Jennifer Mooney, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Shenandoah St, Woodstock, VA 22664 Phone: 540-459-8000 | |
Mrs. Lisa Mae Reedy, FNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 803 S Main St, Woodstock, VA 22664 Phone: 540-345-3556 Fax: 540-342-2193 | |
Dr. Nancye Danielle Lutman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 759 S Main St, Woodstock, VA 22664 Phone: 540-459-1325 |