Ronald Anderson, PMHNO-BC | |
350 Poplar Dr, Petersburg, VA 23805-9367 | |
(804) 733-6874 | |
Not Available |
Full Name | Ronald Anderson |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 350 Poplar Dr, Petersburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356058051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | R164845 (Maryland) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R164845 (Maryland) | Primary |
Entity Name | Toller Enterprises, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20210105002952 |
Entity Name | Spiritual Healing |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003502337 PECOS PAC ID: 7113388802 Enrollment ID: O20230727002041 |
Mailing Address | Practice Location Address |
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Ronald Anderson, PMHNO-BC 350 Poplar Dr, Petersburg, VA 23805-9367 Ph: () - | Ronald Anderson, PMHNO-BC 350 Poplar Dr, Petersburg, VA 23805-9367 Ph: (804) 733-6874 |
Olivia Houchins, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-861-0700 | |
Linda P. Whiteley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Halifax St, Petersburg, VA 23803 Phone: 804-862-1652 | |
Jocelyn L Burls, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 | |
Chiquita Michone Thomas-jackson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3916 S Crater Rd, Petersburg, VA 23805 Phone: 804-526-4300 | |
Ms. Erica Lynn Bagby, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 Fax: 804-733-3506 | |
Ms. Evelyn Maria Cason, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 849 S Sycamore St Ste A, Petersburg, VA 23803 Phone: 804-715-1031 Fax: 804-203-4722 | |
Mr. Casey Brennan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 |