| Ms Krystal Shante Woodson, FNP | |
|
595 Vaden Dr, Gretna, VA 24557-4157 | |
| (540) 769-3964 | |
| Not Available |
| Full Name | Ms Krystal Shante Woodson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 595 Vaden Dr, Gretna, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396337101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024180160 (Virginia) | Primary |
| Entity Name | Cardiology Consultants Of Danville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922163286 PECOS PAC ID: 2961430285 Enrollment ID: O20050728000752 |
| Entity Name | Universal Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407117625 PECOS PAC ID: 5597912626 Enrollment ID: O20120824000538 |
| Entity Name | Pai Participant 1 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20211208001934 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Krystal Shante Woodson, FNP Po Box 8310, Roanoke, VA 24014-0310 Ph: (540) 345-3556 | Ms Krystal Shante Woodson, FNP 595 Vaden Dr, Gretna, VA 24557-4157 Ph: (540) 769-3964 |
Mrs. Karen R Wilkinson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 N Main St, Gretna, VA 24557 Phone: 434-656-2224 | |
Anne Saunier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 291 Mcbride Ln, Gretna, VA 24557 Phone: 434-656-1274 | |
Andrea Tanksley Harvey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 N Main St, Gretna, VA 24557 Phone: 434-656-2224 | |
Ada Allen, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 305 N Main St, Gretna, VA 24557 Phone: 434-656-2224 Fax: 434-656-3988 | |
Ms. Kathy S. Worley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Windy Rd, Gretna, VA 24557 Phone: 434-324-9150 Fax: 434-324-8248 | |
Mrs. Tracy Overstreet Garrett, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 291 Mcbride Lane, Gretna, VA 24557 Phone: 434-656-1274 Fax: 434-200-1672 |