| Cory Tyler Brown, FNP | |
|
1113 Cedar Valley Dr, Cedar Bluff, VA 24609-9190 | |
| (276) 963-0111 | |
| Not Available |
| Full Name | Cory Tyler Brown |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1113 Cedar Valley Dr, Cedar Bluff, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760025365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024178307 (Virginia) | Primary |
| Entity Name | Healing Waters Counseling Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124329388 PECOS PAC ID: 9931362399 Enrollment ID: O20120522001002 |
| Mailing Address | Practice Location Address |
|---|---|
| Cory Tyler Brown, FNP Po Box 426, Cedar Bluff, VA 24609-0426 Ph: (276) 963-0111 | Cory Tyler Brown, FNP 1113 Cedar Valley Dr, Cedar Bluff, VA 24609-9190 Ph: (276) 963-0111 |
Lara Danielle Ray, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1113 Cedar Valley Dr, Cedar Bluff, VA 24609 Phone: 276-963-0111 | |
Mrs. Emalene C Cook, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Cumberland Road, Cedar Bluff, VA 24609 Phone: 276-964-6702 Fax: 276-964-5669 | |
Karen Lynn Harrison, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 216 College Ridge Road, Cedar Bluff, VA 24609 Phone: 276-964-7176 Fax: 276-964-7173 | |
Kathy Lee Cole, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1051 Claypool Hill Mall Rd, Cedar Bluff, VA 24609 Phone: 276-701-7389 Fax: 276-345-4150 | |
Marshall Mcglothlin, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1113 Cedar Valley Dr, Cedar Bluff, VA 24609 Phone: 276-821-2260 | |
Mrs. Lara Elaine Kiser, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 216 College Ridge Road, Cedar Bluff, VA 24609 Phone: 276-964-7176 Fax: 276-964-7157 | |
Bell A Charles, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Town Hollow Rd, Cedar Bluff, VA 24609 Phone: 276-200-0271 |