| Mary Brantley Holmes Msn Whnp-bc Llc | |
|
8955 Wishart Rd Richmond VA 23229-7158 | |
| (804) 928-5596 | |
| Not Available |
| Full Name | Mary Brantley Holmes Msn Whnp-bc Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8955 Wishart Rd, Richmond, Virginia |
| Authorized Official Name and Position | Mary Brantley Holmes (MANAGER) |
| Authorized Official Contact | 8049285596 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Brantley Holmes Msn Whnp-bc Llc 8955 Wishart Rd Richmond VA 23229-7158 Ph: (804) 928-5596 | Mary Brantley Holmes Msn Whnp-bc Llc 8955 Wishart Rd Richmond VA 23229-7158 Ph: (804) 928-5596 |
| NPI Number | 1013689462 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 10/04/2021 |
| Medicare PECOS PAC ID | 3870983661 |
|---|---|
| Medicare Enrollment ID | O20211210000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013689462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mary Brantley Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588001556 PECOS PAC ID: 0840530622 Enrollment ID: I20211210000007 |
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