| The Wound Pros, Inc | |
|
700 Tech Center Pkwy Ste 200-82 Newport News VA 23606-3075 | |
| (757) 508-5662 | |
| Not Available |
| Full Name | The Wound Pros, Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 700 Tech Center Pkwy Ste 200-82, Newport News, Virginia |
| Authorized Official Name and Position | Adriene L Newby (MANAGING MEMBER) |
| Authorized Official Contact | 8459968176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wound Pros, Inc 612 Corporate Way Ste 2m Valley Cottage NY 10989-2027 Ph: (718) 362-1411 | The Wound Pros, Inc 700 Tech Center Pkwy Ste 200-82 Newport News VA 23606-3075 Ph: (757) 508-5662 |
| NPI Number | 1700671997 |
|---|---|
| Provider Enumeration Date | 04/10/2025 |
| Last Update Date | 11/05/2025 |
| Certification Date | 11/05/2025 |
| Medicare PECOS PAC ID | 4486153269 |
|---|---|
| Medicare Enrollment ID | O20250819000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700671997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Primary |
| Provider Name | Myria Gunn Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568725380 PECOS PAC ID: 2062655582 Enrollment ID: I20130903000490 |
| Provider Name | Danita Joye Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285906743 PECOS PAC ID: 4789098567 Enrollment ID: I20210208000972 |
| Provider Name | Stephen Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558504258 PECOS PAC ID: 7113185117 Enrollment ID: I20250919001706 |
| Provider Name | Eric Brittain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497740476 PECOS PAC ID: 1254307929 Enrollment ID: I20251010002644 |
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