| Kregan Brault, CNM | |
|
500 Sentara Cir Ste 105, Williamsburg, VA 23188-5754 | |
| (757) 253-5653 | |
| (757) 378-2776 |
| Full Name | Kregan Brault |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 500 Sentara Cir Ste 105, Williamsburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871983122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 0001192181 (Virginia) | Secondary |
| 367A00000X | Advanced Practice Midwife | 0024170653 (Virginia) | Primary |
| Entity Name | Mid-atlantic Womens Care Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699365072 PECOS PAC ID: 8820998156 Enrollment ID: O20040115000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Kregan Brault, CNM 6353 Center Dr Ste 100, Norfolk, VA 23502-4100 Ph: (561) 486-8439 | Kregan Brault, CNM 500 Sentara Cir Ste 105, Williamsburg, VA 23188-5754 Ph: (757) 253-5653 |
Sarah Hall Lankford, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 120 Kings Way Ste 3400, Williamsburg, VA 23185 Phone: 757-253-5600 | |
Angela Patrice Hale, RN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 500 Sentara Cir Ste 105, Williamsburg, VA 23188 Phone: 757-253-5653 Fax: 757-378-2776 |