| Amanda Holman, FNP-C, MSN, RN | |
|
800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 | |
| (304) 485-3300 | |
| (304) 485-6489 |
| Full Name | Amanda Holman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 800 Grand Central Mall, Vienna, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982080057 | NPI | - | NPPES |
| 0142450 | Medicaid | OH | |
| 3810029780 | Medicaid | WV |
| Facility Name | Location | Facility Type |
|---|---|---|
| Camden Clark Medical Center | Parkersburg, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Camden-clark Physician Corporation | 5294885661 | 254 |
| Entity Name | Camden-clark Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Holman, FNP-C, MSN, RN 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 Ph: (304) 485-3300 | Amanda Holman, FNP-C, MSN, RN 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 Ph: (304) 485-3300 |
Carrie Lett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 522 Grand Central Ave, Vienna, WV 26105 Phone: 304-295-3331 Fax: 304-295-4924 | |
Gina Marie Prunty, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall, Vienna, WV 26105 Phone: 304-485-3300 | |
Pamela J Parker, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall, Suite 4, Vienna, WV 26105 Phone: 304-485-4439 Fax: 304-485-6489 | |
Mrs. Christie Watkins Priem, APRN CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall Ste 11, Vienna, WV 26105 Phone: 304-916-1270 Fax: 304-916-1705 | |
Wyatt Edward Baker, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall Ste 4, Vienna, WV 26105 Phone: 304-485-3300 Fax: 304-485-5584 | |
Jodi L. Law, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Grand Central Ave Ste 5, Vienna, WV 26105 Phone: 304-422-5600 Fax: 304-422-5993 | |
Tammy L Crookshanks, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Grand Central Mall, Suite 4, Vienna, WV 26105 Phone: 304-485-3300 Fax: 304-485-3317 |