| Olivia Mendoza, NP | |
|
269 Medical Park Blvd, Petersburg, VA 23805-9337 | |
| (804) 861-0700 | |
| Not Available |
| Full Name | Olivia Mendoza |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 269 Medical Park Blvd, Petersburg, Virginia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104452010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024179022 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virginia South Psychiatric And Family Services | 3476443797 | 34 |
| Entity Name | Virginia South Psychiatric & Family Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700894466 PECOS PAC ID: 3476443797 Enrollment ID: O20040318001272 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Mendoza, NP 207 N 4th Ave, Hopewell, VA 23860-2503 Ph: (804) 541-0918 | Olivia Mendoza, NP 269 Medical Park Blvd, Petersburg, VA 23805-9337 Ph: (804) 861-0700 |
Ms. Nancy Joyner Gauldin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Halifax St, Petersburg, VA 23803 Phone: 804-863-1652 Fax: 804-862-6126 | |
Linda P. Whiteley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Halifax St, Petersburg, VA 23803 Phone: 804-862-1652 | |
Jocelyn L Burls, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 | |
Chiquita Michone Thomas-jackson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3916 S Crater Rd, Petersburg, VA 23805 Phone: 804-526-4300 | |
Ms. Erica Lynn Bagby, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 Fax: 804-733-3506 | |
Ms. Evelyn Maria Cason, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 849 S Sycamore St Ste A, Petersburg, VA 23803 Phone: 804-715-1031 Fax: 804-203-4722 |