| Crystal Harris, | |
|
20306 Badger Ln, Onley, VA 23418 | |
| (757) 787-7374 | |
| (757) 787-4513 |
| Full Name | Crystal Harris |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 20306 Badger Ln, Onley, 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 |
|---|---|---|---|
| 1447915483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 0024181028 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Shore Home Health | Onley, VA | Home health agency |
| Riverside Shore Memorial Hospital | Onancock, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastern Shore Rural Health System Incorporated | 2668380106 | 36 |
| Eastern Shore Rural Health System Incorporated | 2668380106 | 36 |
| Entity Name | Nova Wound Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255673943 PECOS PAC ID: 0345479010 Enrollment ID: O20140130000116 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Harris, 20306 Badger Ln, Onley, VA 23418 Ph: (757) 787-7374 | Crystal Harris, 20306 Badger Ln, Onley, VA 23418 Ph: (757) 787-7374 |
Ann Schlaefer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20306 Badger Lane, Onley, VA 23418 Phone: 757-787-7374 | |
Laura Crum, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20306 Badge Lane, Onley, VA 23418 Phone: 757-787-7374 Fax: 757-787-4513 | |
Judith Wicklund, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20306 Badger Lane, Onley, VA 23418 Phone: 757-787-7374 Fax: 757-787-4513 | |
Brendan Butler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25228 Lankford Hwy, Onley, VA 23418 Phone: 757-787-1465 | |
Ms. Ann Marie Aldrich, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25228 Lankford Highway, Suite #100,, Onley, VA 23418 Phone: 757-787-1465 | |
Sandra Hearn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20306 Badger Lane, Onley, VA 23418 Phone: 757-414-0400 |