| Addie Marks, NP | |
| 
					115 Ambriar Plz, Amherst, VA 24521-4741  | |
| (434) 946-9565 | |
| Not Available | 
| Full Name | Addie Marks | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 115 Ambriar Plz, Amherst, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508565227 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024179641 (Virginia) | Primary | 
| Entity Name | Centra Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Addie Marks, NP 115 Ambriar Plz, Amherst, VA 24521-4741 Ph: (434) 946-9565  | Addie Marks, NP 115 Ambriar Plz, Amherst, VA 24521-4741 Ph: (434) 946-9565  | 
Carrie Barker, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 124 Locust St, Amherst, VA 24521 Phone: 434-546-7613  | |
California Lenee Caldwell, RN, MSN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 W Commerce St, Amherst, VA 24521 Phone: 434-946-2316  | |
Jill Ryan Crawford, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Ambriar Plz, Amherst, VA 24521 Phone: 434-946-9565  | |
Sharon Johnson Daughtry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Ambriar Plz, Amherst, VA 24521 Phone: 434-946-9565  | |
Mrs. Ceryna Riner, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 124 Ambriar Plz, Amherst, VA 24521 Phone: 434-946-9565  | |
Juliana Frosch, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 W Commerce St, Amherst, VA 24521 Phone: 434-946-2316 Fax: 434-946-9646  |