| Dogwood Wellness | |
|
4414 Lafayette Blvd Ste 239b Fredericksburg VA 22408-4271 | |
| (540) 212-9525 | |
| (540) 779-7696 |
| Full Name | Dogwood Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 4414 Lafayette Blvd Ste 239b, Fredericksburg, Virginia |
| Authorized Official Name and Position | Jonathan Yoder (NURSE PRACTITIONER) |
| Authorized Official Contact | 5402129525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dogwood Wellness 4414 Lafayette Blvd Ste 239b Fredericksburg VA 22408-4271 Ph: (540) 212-9525 | Dogwood Wellness 4414 Lafayette Blvd Ste 239b Fredericksburg VA 22408-4271 Ph: (540) 212-9525 |
| NPI Number | 1487262945 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 08/21/2022 |
| Medicare PECOS PAC ID | 7416367610 |
|---|---|
| Medicare Enrollment ID | O20201029000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487262945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jonathan Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073778973 PECOS PAC ID: 2769635713 Enrollment ID: I20161216001187 |
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