| Maureen Minter Puckett, NNP | |
| 
					3300 Rivermont Ave, Lynchburg, VA 24503  | |
| (434) 200-5621 | |
| Not Available | 
| Full Name | Maureen Minter Puckett | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Neonatal | 
| Location | 3300 Rivermont Ave, Lynchburg, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962720037 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001194391 (Virginia) | Secondary | 
| 363LN0000X | Nurse Practitioner - Neonatal | 0024168397 (Virginia) | Primary | 
| Entity Name | Centra Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Maureen Minter Puckett, NNP 3300 Rivermont Ave, Lynchburg, VA 24503 Ph: (434) 200-5621  | Maureen Minter Puckett, NNP 3300 Rivermont Ave, Lynchburg, VA 24503 Ph: (434) 200-5621  | 
Carrie Gunn Turner, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Rivermont Ave, Intensive Care Nursery, Lynchburg, VA 24503 Phone: 434-200-5735 Fax: 434-200-4590  | |
Magen Calland,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-200-4651  | |
Dianne White, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 Archway Ct, Lynchburg, VA 24502 Phone: 434-237-3664  | |
Amy Leigh Stowers, RN MSN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Nationwide Dr, Suite A, Lynchburg, VA 24502 Phone: 434-384-1862 Fax: 434-384-7704  | |
Melissa Bond, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 113 Wiggington Rd Ste A, Lynchburg, VA 24502 Phone: 434-509-9595  | |
Melody Beth Brown, F.N.P-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2215 Landover Pl, Lynchburg, VA 24501 Phone: 434-947-3944 Fax: 866-617-8273  | |
Mrs. Natalie Olson Enoch, MSN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 Thomson Dr, Lynchburg, VA 24501 Phone: 434-200-5925  |