Patrick Joseph Vander Woude, FNP, NP-C | |
8640 Sudley Rd Ste 203, Manassas, VA 20110-4404 | |
(703) 368-3161 | |
Not Available |
Full Name | Patrick Joseph Vander Woude |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 8640 Sudley Rd Ste 203, Manassas, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932688926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0001266804 (Virginia) | Primary |
Entity Name | Pediatricare Of Northern Virginia, P.c |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104994623 PECOS PAC ID: 9931516432 Enrollment ID: O20220124002914 |
Mailing Address | Practice Location Address |
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Patrick Joseph Vander Woude, FNP, NP-C Po Box 60447, Charlotte, NC 28260-0447 Ph: (844) 266-8268 | Patrick Joseph Vander Woude, FNP, NP-C 8640 Sudley Rd Ste 203, Manassas, VA 20110-4404 Ph: (703) 368-3161 |
Susan Brien Campbell, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-396-5292 Fax: 703-396-5297 | |
Shraddha Lamichhane, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10892 Caraway Cir, Manassas, VA 20109 Phone: 703-980-2783 | |
Helen Karellas Bardis, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9430 Forestwood Ln, Suite 100, Manassas, VA 20110 Phone: 703-365-0227 | |
Shahnoza Mamatova, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9600 Godwin Dr, Manassas, VA 20110 Phone: 703-396-1064 | |
Deepika Shrestha Rajbhandary, FNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6360 Hoadly Rd, Manassas, VA 20112 Phone: 703-897-4961 | |
Christien Byun, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-396-5292 | |
Shenise Seabrook, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6909 Stethem Ct, Manassas, VA 20112 Phone: 843-452-9746 |