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 |
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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 |
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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 |
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Provider Enumeration Date | 10/04/2021 |
Last Update Date | 10/04/2021 |
Medicare PECOS PAC ID | 3870983661 |
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Medicare Enrollment ID | O20211210000003 |
Identifier | Type | State | Issuer |
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1013689462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Mary Brantley Holmes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588001556 PECOS PAC ID: 0840530622 Enrollment ID: I20211210000007 |
Independent Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7605 Forest Ave, Ste 211, Richmond, VA 23229 Phone: 804-282-3114 Fax: 804-285-9723 | |