Mary Louise Tate, AGNP-C
Individual provider Active NPI Gerontology Nurse Practitioner · Montross, VA
NPI 1750147435 · NPPES record last updated Feb 21, 2024
Key facts
- NPI
- 1750147435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 0024189538 (VA)
- Practice address
- 434 Pierce LN
Montross, VA 22520-2252 - Phone
- (804) 366-0913
- NPI assigned
- Feb 21, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 0024189538 | VA | Yes |
Addresses
Primary practice location
434 Pierce LN
Montross, VA 22520-2252
Mailing address
434 Pierce LN
Montross, VA 22520-3121
Phone (804) 366-0913
Other providers in Montross, VA
- Pathway Counseling Services, LLC
- Potomac Family Counseling, LLC
- Sisson&Associates LLC
- Penny Page Snyder-Morris
- Carolyn Jean Tankersley
- Virginia Radiation Therapy and Oncology
- Walgreen Co
- Andrew Farley Walker
- Christopher S. Walsh
- Westmoreland County
All providers in Montross, VA · Gerontology Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.