MRS. MAGGIE FORD BANE (NPI# 1972861169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972861169 |
| Entity Type | Individual |
| Full Name | MRS. MAGGIE FORD BANE |
| Other Name | MISS MAGGIE FORD WILKINS |
| Credential | NP-C |
| Practice Address |
2206 Wilborn Ave South Boston VA 24592-1630 |
| Practice Telephone | 4345178627 |
| Practice Fax Number | 4345178080 |
| Mailing Telephone | 4345178627 |
| Mailing Fax Number | 4345178080 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024170022 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5005825 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Duke University Medical Ctr, 2301 Erwin Road, Room 6241, Durham, NC 277100001 | 9196819985 | 9196810661 |
| Street Address |
2206 WILBORN AVE |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962420166 | Charles William Rosche | Specialist | 2206 Wilborn Ave, South Boston, VA 24592-1630 | 2006-07-17 |
| 1033728803 | Halifax Regional Hospital, Inc | Clinic/Center | 2206 Wilborn Ave, Medical Office Building #1, South Boston, VA 24592 | 2020-07-28 |
| 1992244172 | Dominion Health Medical Associates Ltd | Clinic/Center | 2206 Wilborn Ave, South Boston, VA 24592 | 2017-02-21 |
| 1407308703 | University of North Carolina At Chapel Hill | Neurological Surgery | 2206 Wilborn Ave, Suite One, South Boston, VA 24592-1630 | 2016-11-03 |
| 1760740625 | Dominion Health Medical Assoc | Clinic/Center | 2206 Wilborn Ave, South Boston, VA 24592 | 2012-04-30 |
| 1215294814 | Joni Abbott | Obstetrics & Gynecology | 2206 Wilborn Ave, South Boston, VA 24592-1630 | 2012-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962762617 | Katherine Theresa Twitchell | Nurse Practitioner | 130 Dorchester Street, South Boston, MA 02127 | 2012-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999668 | Sharon Annette Mclaurin | Nurse Practitioner | 23320 Rogerdale Pl, Sterling, VA 20166-2143 | 2020-10-14 |
| 1538775697 | First Choice Anderson Fnp LLC | Nurse Practitioner | 127 Rabey Farm Rd, Suffolk, VA 23435-2256 | 2020-09-23 |
| 1225653629 | Christine Fay Amorosi | Nurse Practitioner | 1200 S Huntress Ct, Mc Lean, VA 22102-2515 | 2020-06-11 |
| 1124642673 | Andrea Danielle Stanley | Nurse Practitioner | 4232 Stanley Ln, Salem, VA 24153-4027 | 2020-06-01 |
| 1669938825 | Mishii Strother Hamlor | Nurse Practitioner | 4801 Newbys Mill Ter, Chesterfield, VA 23832-7875 | 2019-02-13 |
| 1942773908 | Tammy Jean Davidson | Nurse Practitioner | 1077 Saint Clairs Creek Rd, Chilhowie, VA 24319-5893 | 2019-01-02 |
| 1891266847 | Sarantuya Sukhee-hungerford | Nurse Practitioner | 102 Elden St Ste 16, Herndon, VA 20170-4839 | 2018-12-16 |
| 1174092894 | Advanced Practice Services, LLC | Nurse Practitioner | 362 Pleasant Pl, Charlottesville, VA 22911-2212 | 2018-11-26 |
| 1912472713 | Elina Sergeyevna Reynolds | Nurse Practitioner | 221 Mount Pleasant Rd Unit A-1, Chesapeake, VA 23322-4155 | 2018-10-08 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
Please comment or provide details below to improve the information on MRS. MAGGIE FORD BANE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.