Vivian Clark, FNP-BC | |
11855 Parkgate Dr, Nokesville, VA 20181-2719 | |
(571) 379-1228 | |
Not Available |
Full Name | Vivian Clark |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 11855 Parkgate Dr, Nokesville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699528117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024189931 (Virginia) | Primary |
Entity Name | Emergency Coverage Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
Mailing Address | Practice Location Address |
---|---|
Vivian Clark, FNP-BC 11855 Parkgate Dr, Nokesville, VA 20181-2719 Ph: (571) 379-1228 | Vivian Clark, FNP-BC 11855 Parkgate Dr, Nokesville, VA 20181-2719 Ph: (571) 379-1228 |
Ngozi Okafor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10006 Umbrella Pl, Nokesville, VA 20181 Phone: 719-231-5561 | |
Nicole Barbour, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10601 Ausley Ct, Nokesville, VA 20181 Phone: 757-374-2281 | |
Linea Duffus, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9000 Ann Natalie Ln, Nokesville, VA 20181 Phone: 703-576-7542 |