| Mr Bradley Kevin Young, FNP-C | |
|
2041 Fisher Arch Suite 140, Virginia Beach, VA 23456 | |
| (757) 301-6985 | |
| Not Available |
| Full Name | Mr Bradley Kevin Young |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2041 Fisher Arch Suite 140, Virginia Beach, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336826692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11388965-4405 (Utah) | Primary |
| Entity Name | Reboot Functional Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427709526 PECOS PAC ID: 1052796604 Enrollment ID: O20220916002781 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradley Kevin Young, FNP-C 8756 S 1700 E, Sandy, UT 84093-1408 Ph: (208) 380-0763 | Mr Bradley Kevin Young, FNP-C 2041 Fisher Arch Suite 140, Virginia Beach, VA 23456 Ph: (757) 301-6985 |
Dr. Ameanthea Rica Blanco-knezovich, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Diamond Springs Rd, Ste 503, Virginia Beach, VA 23455 Phone: 757-656-1665 | |
Clotilde Jorgina Ramos, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456 Phone: 757-507-1000 | |
Dr. Mary Heath Conner, DNP, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2624 Southern Blvd Ste 102, Virginia Beach, VA 23452 Phone: 757-453-1256 Fax: 319-359-3813 | |
Tonja Marie Devolgado, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2075 Glenn Mitchell Dr Ste 512, Virginia Beach, VA 23456 Phone: 757-507-8850 | |
Andrew Paul Leisring, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5500 Magnolia Run Cir Apt 107, Virginia Beach, VA 23464 Phone: 513-373-6017 | |
Rebekah Harriet Camerino, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 First Colonial Rd Ste 204, Virginia Beach, VA 23454 Phone: 757-363-8212 | |
Stephanie Cole Oldfield, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462 Phone: 757-457-5110 Fax: 757-466-3411 |