| Grace Mumbi Kamau, NP | |
|
508 7th Street, Altavista, VA 24517 | |
| (434) 404-4728 | |
| (434) 234-8978 |
| Full Name | Grace Mumbi Kamau |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 508 7th Street, Altavista, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831801406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 0024186279 (Virginia) | Primary |
| Entity Name | Community Access Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780058628 PECOS PAC ID: 8224333026 Enrollment ID: O20160216001199 |
| Entity Name | Johnson Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821212481 PECOS PAC ID: 9537060413 Enrollment ID: O20180308000764 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Mumbi Kamau, NP Po Box 123, Forest, VA 24551-0123 Ph: (434) 404-4728 | Grace Mumbi Kamau, NP 508 7th Street, Altavista, VA 24517 Ph: (434) 404-4728 |
Allison Maddy, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1280 Main St, Suite A, Altavista, VA 24517 Phone: 434-309-1165 | |
Mekhla B Raina, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1280a Main St, Altavista, VA 24517 Phone: 434-309-1165 |