| Laura E Diaz, MSN-FNP | |
|
21 Walnut Blvd Ste 12&3, Petersburg, VA 23805-2101 | |
| (800) 683-8313 | |
| (502) 685-9855 |
| Full Name | Laura E Diaz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 21 Walnut Blvd Ste 12&3, Petersburg, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770149726 | NPI | - | NPPES |
| 30015751410001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024176339 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Recover Together Inc | 7810247533 | 116 |
| Recover Together Inc | 7810247533 | 116 |
| Recover Together Inc | 7810247533 | 116 |
| Recover Together Inc | 7810247533 | 116 |
| Entity Name | Minuteclinic Diagnostic Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417076829 PECOS PAC ID: 6709960891 Enrollment ID: O20080228000067 |
| Entity Name | Recover Together Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891102497 PECOS PAC ID: 7810247533 Enrollment ID: O20201026000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura E Diaz, MSN-FNP 5714 11th St N Apt 10, Arlington, VA 22205-2344 Ph: (703) 401-5413 | Laura E Diaz, MSN-FNP 21 Walnut Blvd Ste 12&3, Petersburg, VA 23805-2101 Ph: (800) 683-8313 |
Olivia Houchins, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-861-0700 | |
Rasha Kafi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 263 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-431-1100 Fax: 804-862-1094 | |
Linda P. Whiteley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Halifax St, Petersburg, VA 23803 Phone: 804-862-1652 | |
Jocelyn L Burls, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 | |
Melissa Dalton Wagner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-609-0175 Fax: 804-835-5999 | |
Chiquita Michone Thomas-jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3916 S Crater Rd, Petersburg, VA 23805 Phone: 804-526-4300 | |
Ms. Erica Lynn Bagby, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 Fax: 804-733-3506 |