Lisa Petty (NPI# 1518513118, PAC ID# 8921430414) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518513118 |
| PAC ID by PECOS | 8921430414 |
| Professional Enrollment ID | I20191121002936 |
| Full Name | Lisa Petty |
| Organization Legal Name | MWHC URGENT CARE LLC |
| Address |
11131 Journal Pkwy Suite A King George VA 22485-3468 |
| Phone Number | 5407095173 |
| Gender | F |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921338427 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 11131 Journal Pkwy, Suite A, King George, VA 22485-3468 | 5407095173 | MWHC URGENT CARE LLC |
| Organization Legal Name | MWHC URGENT CARE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Piwowarski | Physician Assistant | Mwhc Urgent Care LLC | 11131 Journal Pkwy, Suite A, King George, VA 22485-3468 |
| Eleanor Donohue Redmond | Nurse Practitioner | Mwhc Urgent Care LLC | 11131 Journal Pkwy, Suite A, King George, VA 22485-3468 |
| Street Address |
11131 JOURNAL PKWY SUITE A |
| City | KING GEORGE |
| State | VA |
| Zip | 22485-3468 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Piwowarski | Physician Assistant | Mwhc Urgent Care LLC | 11131 Journal Pkwy, Suite A, King George, VA 22485-3468 |
| Michael Joseph Costa | Family Medicine | 24/7 Tlc | 11131 Journal Pkwy, King George, VA 22485-3468 |
| Eleanor Donohue Redmond | Nurse Practitioner | Mwhc Urgent Care LLC | 11131 Journal Pkwy, Suite A, King George, VA 22485-3468 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberto R Canizares | General Practice | 24/7 Tlc | 700 Mckinney Blvd, Suite 1100, Colonia Beach, VA 22485 |
| Annie C Cardwell | Physical Therapy | Changing Paces PC | 12330 Millbank Rd, King George, VA 22485-2317 |
| Judith C Morris | Chiropractic | 5215 Kings Wood Ln, King George, VA 22485-2485 | |
| Adnan Zawawi | Psychiatry | Rappahannock Area Community Services Board | 8479 Saint Anthonys Rd, King George, VA 22485-3408 |
| Shawn Desmond Pallotti | Chiropractic | 9305 Kings Hwy A, King George, VA 22485-3423 | |
| Inez Weekes | Podiatry | 10254 Kings Hwy, King George, VA 22485-3429 | |
| Emily Kristen Taylor | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 11458 Kings Hwy, King George, VA 22485-4200 |
| Eileen J.r. Graham | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 11458 Kings Hwy, King George, VA 22485-4200 |
| Ann Marie A Fortin | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 11458 Kings Hwy, King George, VA 22485-4200 |
| Celestina D Amlalo | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 11458 Kings Hwy, King George, VA 22485-4200 |
| Find all physicians in zip 22485 | |||
| City | KING GEORGE |
| Zip Code | 22485 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KING GEORGE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa Petty.
| 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.