| Mrs Amanda Rose Carmen, CNM | |
|
24430 Stone Springs Blvd Ste 475, Dulles, VA 20166-2272 | |
| (703) 957-1245 | |
| (703) 665-2374 |
| Full Name | Mrs Amanda Rose Carmen |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 24430 Stone Springs Blvd Ste 475, Dulles, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619723335 | NPI | - | NPPES |
| 1619723335 | Medicaid | VA | |
| 30017859690001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 0024189493 (Virginia) | Primary |
| Entity Name | Loudoun Medical Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda Rose Carmen, CNM 224- D Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Mrs Amanda Rose Carmen, CNM 24430 Stone Springs Blvd Ste 475, Dulles, VA 20166-2272 Ph: (703) 957-1245 |
Traci Annetta Marin, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd., Suite 475, Dulles, VA 20166 Phone: 703-957-1245 | |
Margaret Jeanne Brandquist, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 24430 Stone Springs Blvd, Suite 550, Dulles, VA 20166 Phone: 703-957-1245 Fax: 703-665-2374 |