| Mrs Judy Marie Altizer, FNP | |
|
3700 S Main St, Blacksburg, VA 24060-7017 | |
| (540) 953-5122 | |
| (540) 953-5496 |
| Full Name | Mrs Judy Marie Altizer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3700 S Main St, Blacksburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821303728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0017139772 (Virginia) | Primary |
| Entity Name | Lake Spring Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215429600 PECOS PAC ID: 6406103498 Enrollment ID: O20180723001173 |
| Entity Name | Kingsford Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336631480 PECOS PAC ID: 3870841117 Enrollment ID: O20180802003435 |
| Entity Name | Kingsford Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871088526 PECOS PAC ID: 0840541017 Enrollment ID: O20180927000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Judy Marie Altizer, FNP Po Box 90004, Blacksburg, VA 24062-9004 Ph: (540) 953-5122 | Mrs Judy Marie Altizer, FNP 3700 S Main St, Blacksburg, VA 24060-7017 Ph: (540) 953-5122 |
Theresa Ann Buchanan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Charles W Schiffert Health Ctr, Mccomas Hall, Blacksburg, VA 24061 Phone: 540-231-5313 Fax: 540-231-7473 | |
Mrs. Kristie Lynn Jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 South Main Street, Blacksburg, VA 24060 Phone: 540-953-5385 | |
Susan I Gaither, RNCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3708 S Main St, Blacksburg, VA 24060 Phone: 540-951-3376 Fax: 540-951-1276 | |
Amanda Mitchell Hale, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 829 Davis St, Blacksburg, VA 24060 Phone: 540-443-3940 | |
Mrs. Cassie Ann Sheffey, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 S Main St, Blacksburg, VA 24060 Phone: 276-617-1738 | |
Christina Rice, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2617 Sheffield Dr, Blacksburg, VA 24060 Phone: 540-953-2210 Fax: 540-951-9112 | |
Bailee Alafair Brewster, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2617 Sheffield Dr, Blacksburg, VA 24060 Phone: 540-953-2210 |