Virginia L Revere (NPI# 1538174107, PAC ID# 2466628474) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1538174107 |
| PAC ID by PECOS | 2466628474 |
| Professional Enrollment ID | I20111221000660 |
| Full Name | Virginia L Revere |
| Address |
9012 Linton Ln Alexandria VA 22308-2733 |
| Phone Number | 7037804872 |
| Gender | F |
| Graduation Year | 1971 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9012 Linton Ln, Alexandria, VA 22308-2733 | 7037804872 |
| Street Address |
9012 LINTON LN |
| City | ALEXANDRIA |
| State | VA |
| Zip | 22308-2733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reidun Dare | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 1510 Collingwood Rd, Alexandria, VA 22308-1605 |
| Patricia P Adams | Nurse Practitioner | 8621 Fort Hunt Rd, Alexandria, VA 22308-2522 |
| City | ALEXANDRIA |
| Zip Code | 22308 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | ALEXANDRIA + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Virginia L Revere.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.