Wanda Lizette Carrington, NP | |
3143 Magic Hollow Blvd Ste B, Virginia Beach, VA 23453-3077 | |
(757) 385-8222 | |
Not Available |
Full Name | Wanda Lizette Carrington |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 3143 Magic Hollow Blvd Ste B, Virginia Beach, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376000570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 5011508 (North Carolina) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024180549 (Virginia) | Primary |
Entity Name | Sentara Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
Entity Name | Riverside Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
Mailing Address | Practice Location Address |
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Wanda Lizette Carrington, NP 3143 Magic Hollow Blvd, Virginia Beach, VA 23453-3077 Ph: (757) 385-8222 | Wanda Lizette Carrington, NP 3143 Magic Hollow Blvd Ste B, Virginia Beach, VA 23453-3077 Ph: (757) 385-8222 |
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