| Charles Smith, NP | |
|
219 Buchanan St, Pearisburg, VA 24134-1901 | |
| (540) 921-3502 | |
| Not Available |
| Full Name | Charles Smith |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 219 Buchanan St, Pearisburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942699392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024172276 (Virginia) | Primary |
| Entity Name | Free Clinic Of The New River Valley Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306273149 PECOS PAC ID: 5294963666 Enrollment ID: O20140414001357 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Smith, NP 417 Monterey Hl, Bluefield, WV 24701-4109 Ph: () - | Charles Smith, NP 219 Buchanan St, Pearisburg, VA 24134-1901 Ph: (540) 921-3502 |
Tiffany Danielle Holt, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 430 Boxwood Ln, Pearisburg, VA 24134 Phone: 540-921-6110 Fax: 540-921-3796 | |
Tolmie Margaret Holcomb, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 159 Hartley Way, Pearisburg, VA 24134 Phone: 540-921-6000 Fax: 540-921-5606 | |
Mrs. Angela Renae Lilly, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 430 Boxwood Ln, Pearisburg, VA 24134 Phone: 540-921-6110 Fax: 540-921-3796 | |
Mrs. Shirley Dols Petreye, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 430 Boxwood Ln, Pearisburg, VA 24134 Phone: 540-921-6110 Fax: 540-921-3796 | |
Kelly Marie Rucker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 159 Hartley Way, Pearisburg, VA 24134 Phone: 540-921-6000 | |
Angela Ferguson Graham, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 159 Hartley Way, Pearisburg, VA 24134 Phone: 540-853-0201 Fax: 540-853-0931 | |
Mrs. Heather Bright Sadler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Hartley Way, Pearisburg, VA 24134 Phone: 540-921-6000 |