| Mrs Marissa Jean Peniche, RN, FNP STUDENT | |
| 
					600 Randolph St, Radford, VA 24141-2428  | |
| (540) 639-5300 | |
| Not Available | 
| Full Name | Mrs Marissa Jean Peniche | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 600 Randolph St, Radford, Virginia | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134925332 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WP2201X | Registered Nurse - Ambulatory Care | 0001296088 (Virginia) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 0024194530 (Virginia) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Marissa Jean Peniche, RN, FNP STUDENT 495 Pickett St Apt E, Christiansburg, VA 24073-1331 Ph: (540) 505-7245  | Mrs Marissa Jean Peniche, RN, FNP STUDENT 600 Randolph St, Radford, VA 24141-2428 Ph: (540) 639-5300  | 
Ida E Sutherland, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Randolph St, Radford, VA 24141 Phone: 540-639-5300 Fax: 540-639-4653  | |
Jennifer Lynn Simpson, NP -BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Randolph St Ste 120, Radford, VA 24141 Phone: 540-731-3200  | |
Jessica Dowdy Windle, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Randolph St, Radford, VA 24141 Phone: 540-639-5300  | |
Melissa Ann Carrico,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 W Main St, Radford, VA 24141 Phone: 540-838-8000  | |
Ms. Deborah S Ring, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 801 E Main St, Box 7020, Radford, VA 24142 Phone: 540-831-7660 Fax: 540-831-7740  | |
Mrs. Meredith Spencer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 614 E Main St Ste B, Radford, VA 24141 Phone: 540-731-1600 Fax: 540-772-3444  | |
Ms. Janice Marshall, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 801 W Main St, Box 7020, Radford, VA 24141 Phone: 540-831-7660 Fax: 540-831-7740  |