| Cordelia Nieketien-tawari, DNP, APRN-BC LNP | |
|
1850 Cameron Glen Dr, Suite 600, Reston, VA 20190-3363 | |
| (703) 481-4100 | |
| (703) 435-1961 |
| Full Name | Cordelia Nieketien-tawari |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1850 Cameron Glen Dr, Reston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194827139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024165883 (Virginia) | Primary |
| Entity Name | Cornita Mental Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134524580 PECOS PAC ID: 3870812084 Enrollment ID: O20150508001344 |
| Entity Name | Director Of Finance-county Of Fairfax Va |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154356244 PECOS PAC ID: 9739136847 Enrollment ID: O20210319001688 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Cordelia Nieketien-tawari, DNP, APRN-BC LNP Po Box 2692, Reston, VA 20195-0692 Ph: (703) 869-5361 | Cordelia Nieketien-tawari, DNP, APRN-BC LNP 1850 Cameron Glen Dr, Suite 600, Reston, VA 20190-3363 Ph: (703) 481-4100 |
Margaret Smith Lynch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1488 Northpoint Village Ctr, Reston, VA 20194 Phone: 571-786-1024 Fax: 571-786-1025 | |
Julia Grace Cyr, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11921 Freedom Dr Ste 550, Reston, VA 20190 Phone: 703-783-4375 Fax: 571-376-6564 | |
Louise C Ritz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12524 Sunrise Valley Dr, Reston, VA 20191 Phone: 703-689-2180 Fax: 703-481-3853 | |
Mrs. Inga Marler, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12103 Stirrup Rd, Reston, VA 20191 Phone: 612-225-1538 | |
Pamela Ashley Michel, DNP, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1860 Town Center Dr Ste 150, Reston, VA 20190 Phone: 703-480-0220 Fax: 703-480-0280 | |
Ms. Maureen E West, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11445 Sunset Hill Road, Reston, VA 20190 Phone: 703-709-1500 Fax: 703-709-1711 | |
Mary Joseph Frickel, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Town Center Drive, Suite 220, Reston, VA 20190 Phone: 703-435-2555 Fax: 571-926-8910 |