| Mrs Marisa Bradbury, PMHNP | |
|
5322 Ladysmith Rd, Ruther Glen, VA 22546-1325 | |
| (804) 547-4125 | |
| Not Available |
| Full Name | Mrs Marisa Bradbury |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 5322 Ladysmith Rd, Ruther Glen, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093444093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024184442 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grace Health Services Llc | 6103157094 | 3 |
| Entity Name | Grace Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528614674 PECOS PAC ID: 6103157094 Enrollment ID: O20191007003690 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Marisa Bradbury, PMHNP Po Box 34527, North Chesterfield, VA 23234-0527 Ph: () - | Mrs Marisa Bradbury, PMHNP 5322 Ladysmith Rd, Ruther Glen, VA 22546-1325 Ph: (804) 547-4125 |
Ms. Tamara Krantz Fleming, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8051 Prosperity Way, Suite 100, Ruther Glen, VA 22546 Phone: 804-448-1380 | |
Cecilia Ntobo Faison Ngwa, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5322 Ladysmith Rd, Ruther Glen, VA 22546 Phone: 757-535-9609 Fax: 571-473-5954 | |
Engoh Bellamy, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11073 Colonel Armistead Dr Ste 105b, Ruther Glen, VA 22546 Phone: 703-660-4676 |