| Miranda Micucci, MSN, APRN, FNP-BC | |
| 
					535 Westfield Rd Ste 200, Charlottesville, VA 22901-1870  | |
| (434) 973-4040 | |
| Not Available | 
| Full Name | Miranda Micucci | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 535 Westfield Rd Ste 200, Charlottesville, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437882537 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001269663 (Virginia) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 0024184617 (Virginia) | Primary | 
| Entity Name | Privia Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Miranda Micucci, MSN, APRN, FNP-BC 535 Westfield Rd Ste 200, Charlottesville, VA 22901-1870 Ph: () -  | Miranda Micucci, MSN, APRN, FNP-BC 535 Westfield Rd Ste 200, Charlottesville, VA 22901-1870 Ph: (434) 973-4040  | 
Norma Branham, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2047  | |
Neil Peterson,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-0075  | |
Joy R Miller, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-2617  | |
Rebecca L Hand, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-982-1100  | |
Megan E. Kingdon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-9400 Fax: 434-982-1618  | |
Mrs. Stephanie Richardson Wilhelm, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Martha Jefferson Dr, Charlottesville, VA 22911 Phone: 434-654-7150  | |
Kimberly Conrad,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Lee St, Charlottesville, VA 22908 Phone: 434-924-9333 Fax: 434-244-7526  |