| Iroda T Mukhamedova, MSN, RN, FNP-C | |
|
11600 Busy St Ste 203, North Chesterfield, VA 23236-4066 | |
| (804) 506-0526 | |
| (804) 506-0526 |
| Full Name | Iroda T Mukhamedova |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 11600 Busy St Ste 203, North Chesterfield, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083228217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024179613 (Virginia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 0024179613 (Virginia) | Secondary |
| Entity Name | Little Clinic Of Va Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225440076 PECOS PAC ID: 2961620596 Enrollment ID: O20140824000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Iroda T Mukhamedova, MSN, RN, FNP-C 2661 St Elias Dr Unit A, Henrico, VA 23294-3535 Ph: (901) 428-6389 | Iroda T Mukhamedova, MSN, RN, FNP-C 11600 Busy St Ste 203, North Chesterfield, VA 23236-4066 Ph: (804) 506-0526 |
Ms. Stephanie Fowlkes Sill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 Johnston Willis Dr Ste 200, North Chesterfield, VA 23235 Phone: 804-288-2742 Fax: 804-288-9053 | |
Archelle Johnson, AG-PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Buford Rd Ste B111, North Chesterfield, VA 23235 Phone: 804-878-0942 Fax: 888-556-8809 | |
Mackenzie Delane Hahn, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8110 Midlothian Tpke, North Chesterfield, VA 23235 Phone: 804-320-8160 | |
Caitlin Renee Halpin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Boulders Pkwy Ste 101, North Chesterfield, VA 23225 Phone: 804-320-4243 Fax: 804-622-0552 | |
Arlyn Pericano Salabao, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Johnston Willis Dr, North Chesterfield, VA 23235 Phone: 804-483-6063 | |
Sara Marie Perran, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Wadsworth Dr, North Chesterfield, VA 23236 Phone: 804-285-8206 | |
Ashley M. Shoultz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Turner Rd Ste D-h, North Chesterfield, VA 23225 Phone: 540-202-2554 |