| Libertas Integrative Health | |
|
1043 Oaklawn Dr Ste A Culpeper VA 22701-3339 | |
| (540) 613-1825 | |
| (540) 870-6133 |
| Full Name | Libertas Integrative Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1043 Oaklawn Dr Ste A, Culpeper, Virginia |
| Authorized Official Name and Position | Sarah Russell (OWNER) |
| Authorized Official Contact | 5406131825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Libertas Integrative Health 1043 Oaklawn Dr Ste A Culpeper VA 22701-3339 Ph: (540) 613-1825 | Libertas Integrative Health 1043 Oaklawn Dr Ste A Culpeper VA 22701-3339 Ph: (540) 613-1825 |
| NPI Number | 1578182986 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 06/08/2023 |
| Medicare PECOS PAC ID | 7214358316 |
|---|---|
| Medicare Enrollment ID | O20200527003179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578182986 | NPI | - | NPPES |
| 1497732549 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Sarah E Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497732549 PECOS PAC ID: 5496758773 Enrollment ID: I20120816000242 |
| Provider Name | Rebecca Talley-mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063135895 PECOS PAC ID: 0244695880 Enrollment ID: I20230503002025 |
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