| Grace St Pierre, FNP-C | |
|
17068 Lankford Highway, Eastville, VA 23347 | |
| (757) 331-1086 | |
| Not Available |
| Full Name | Grace St Pierre |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 17068 Lankford Highway, Eastville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750815429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 060930-23 (New Hampshire) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024184094 (Virginia) | Primary |
| Entity Name | Springfield Medical Care Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730336843 PECOS PAC ID: 9133157043 Enrollment ID: O20090610000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace St Pierre, FNP-C 149 Great Country Rd, Charlestown, NH 03603-4164 Ph: (603) 558-0278 | Grace St Pierre, FNP-C 17068 Lankford Highway, Eastville, VA 23347 Ph: (757) 331-1086 |
Suzanne E Omrod, MSN, RN, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17068 Lankford Highway, Eastville, VA 23347 Phone: 757-331-1086 | |
Mary Kathryn Michaelis, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17068 Lankford Highway, Eastville, VA 23347 Phone: 757-414-0400 Fax: 757-414-0569 |