| Cynthia J Booten, FNP | |
|
436 Clairmont Ct, Suite 100, Colonial Heights, VA 23834-1765 | |
| (804) 526-2121 | |
| (804) 520-2617 |
| Full Name | Cynthia J Booten |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 436 Clairmont Ct, Colonial Heights, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003989351 | NPI | - | NPPES |
| 1003989351 | Other | VA | NPI |
| 11657718 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024166276 (Virginia) | Primary |
| 207Q00000X | Family Medicine | 007138155 (Virginia) | Secondary |
| Entity Name | Roanoke Valley Healthcare Partners LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619274446 PECOS PAC ID: 0143490326 Enrollment ID: O20110825000335 |
| Entity Name | Anew Divine Healthcare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124719232 PECOS PAC ID: 1052752391 Enrollment ID: O20240516003892 |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia J Booten, FNP 436 Clairmont Ct, Suite 100, Colonial Heights, VA 23834-1765 Ph: (804) 526-2121 | Cynthia J Booten, FNP 436 Clairmont Ct, Suite 100, Colonial Heights, VA 23834-1765 Ph: (804) 526-2121 |
Dr. Jessy A Nwuba, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 Boulevard, Colonial Heights, VA 23834 Phone: 571-523-5479 Fax: 804-374-8889 |
Mrs. Megan Sinclair Harvey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 131 Jennick Dr, Colonial Heights, VA 23834 Phone: 804-526-5888 |
Jane Crile, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 930 South Ave Ste 8, Colonial Heights, VA 23834 Phone: 804-471-7730 |
Samantha N Taylor, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 524 Southpark Blvd, Colonial Heights, VA 23834 Phone: 804-504-7980 Fax: 804-554-5387 |
Smart C Duruegbuso, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3611 Boulevard, Colonial Heights, VA 23834 Phone: 804-372-5476 |
Mrs. Daphne C Edwards, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2493 Boulevard, Colonial Heights, VA 23834 Phone: 804-504-5490 Fax: 833-989-0990 |
Jerreka Peterson, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 524 Southpark Blvd, Colonial Heights, VA 23834 Phone: 804-504-7980 Fax: 804-554-5387 |