Nexus Wound Consultants Llc | |
4701 Cox Rd Ste 285 Glen Allen VA 23060-6808 | |
(830) 285-8882 | |
Not Available |
Full Name | Nexus Wound Consultants Llc |
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Speciality | Family Medicine |
Location | 4701 Cox Rd Ste 285, Glen Allen, Virginia |
Authorized Official Name and Position | Zachary Giebler (EXECUTIVE VP OF OPERATIONS) |
Authorized Official Contact | 8302858882 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nexus Wound Consultants Llc 12703 Spectrum Dr Ste 102 San Antonio TX 78249-3444 Ph: (830) 285-8882 | Nexus Wound Consultants Llc 4701 Cox Rd Ste 285 Glen Allen VA 23060-6808 Ph: (830) 285-8882 |
NPI Number | 1104698588 |
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Provider Enumeration Date | 10/27/2023 |
Last Update Date | 06/24/2025 |
Medicare PECOS PAC ID | 9739524943 |
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Medicare Enrollment ID | O20240227004653 |
Identifier | Type | State | Issuer |
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1104698588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Amanda L Bunch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245796069 PECOS PAC ID: 6709118482 Enrollment ID: I20191030000395 |
Provider Name | Rhonda L Moore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255050209 PECOS PAC ID: 6901270040 Enrollment ID: I20230313002052 |
Provider Name | Samuel Jurca |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962069203 PECOS PAC ID: 7911237482 Enrollment ID: I20240227004684 |
Provider Name | Brenda Baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376997130 PECOS PAC ID: 5799078408 Enrollment ID: I20241209000325 |
Provider Name | Stacey Raybuck |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720020076 PECOS PAC ID: 0941230858 Enrollment ID: I20241212004042 |
Provider Name | Vaquinda Motley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659125003 PECOS PAC ID: 7810434644 Enrollment ID: I20241219000925 |
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Glen Allen Medi Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11551 Nuckols Rd Ste C, Glen Allen, VA 23059 Phone: 704-926-7546 | |
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