| Harriet V Greenfield Np, Llc | |
|
12656 Lake Ridge Dr Ste A Woodbridge VA 22192-7504 | |
| (571) 427-2095 | |
| (320) 238-7553 |
| Full Name | Harriet V Greenfield Np, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12656 Lake Ridge Dr Ste A, Woodbridge, Virginia |
| Authorized Official Name and Position | Harriet V Greenfield (NP/OWNER) |
| Authorized Official Contact | 7036272983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harriet V Greenfield Np, Llc 12656a Lake Ridge Dr Ste A Lake Ridge VA 22192-2335 Ph: (571) 427-2095 | Harriet V Greenfield Np, Llc 12656 Lake Ridge Dr Ste A Woodbridge VA 22192-7504 Ph: (571) 427-2095 |
| NPI Number | 1790487486 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 11/08/2024 |
| Medicare PECOS PAC ID | 2264894419 |
|---|---|
| Medicare Enrollment ID | O20230821000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790487486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Harriet V Greenfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790897122 PECOS PAC ID: 5092954552 Enrollment ID: I20150427001480 |
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