Nexus Wound Consultants Llc | |
1168 Killington Arch Chesapeake VA 23320-8256 | |
(702) 901-9081 | |
Not Available |
Full Name | Nexus Wound Consultants Llc |
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Speciality | Family Medicine |
Location | 1168 Killington Arch, Chesapeake, Virginia |
Authorized Official Name and Position | Alicia Walker (COO) |
Authorized Official Contact | 7029019081 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nexus Wound Consultants Llc 7881 W Charleston Blvd Ste 230 Las Vegas NV 89117-8327 Ph: (702) 901-9081 | Nexus Wound Consultants Llc 1168 Killington Arch Chesapeake VA 23320-8256 Ph: (702) 901-9081 |
NPI Number | 1104698588 |
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Provider Enumeration Date | 10/27/2023 |
Last Update Date | 05/20/2024 |
Medicare PECOS PAC ID | 9739524943 |
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Medicare Enrollment ID | O20240227004653 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104698588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Betty J Tasie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992132310 PECOS PAC ID: 9234366337 Enrollment ID: I20131217001961 |
Provider Name | Alexia M Wallace |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821455320 PECOS PAC ID: 4587960141 Enrollment ID: I20170524002522 |
Provider Name | Rhonda L Moore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255050209 PECOS PAC ID: 6901270040 Enrollment ID: I20230313002052 |
Provider Name | Samuel Jurca |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962069203 PECOS PAC ID: 7911237482 Enrollment ID: I20240227004684 |
Provider Name | Daniel Lascu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477261220 PECOS PAC ID: 3779957030 Enrollment ID: I20240802003541 |
Provider Name | Brenda Lea Baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376997130 PECOS PAC ID: 5799078408 Enrollment ID: I20241209000325 |
Provider Name | Stacey Raybuck |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720020076 PECOS PAC ID: 0941230858 Enrollment ID: I20241212004042 |
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