Aliceanne Thondu, | |
1035 Placer St, Redding, CA 96001-1170 | |
(530) 246-5710 | |
Not Available |
Full Name | Aliceanne Thondu |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1035 Placer St, Redding, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063087047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95017260 (California) | Primary |
Entity Name | Shasta Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013931476 PECOS PAC ID: 3870579816 Enrollment ID: O20040629000721 |
Mailing Address | Practice Location Address |
---|---|
Aliceanne Thondu, 5463 Clermont Ct, Westlake Village, CA 91362-7173 Ph: (619) 663-7293 | Aliceanne Thondu, 1035 Placer St, Redding, CA 96001-1170 Ph: (530) 246-5710 |
Elaine Isabella Edwards, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 415-606-4501 | |
Kathleen Toney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 530-246-5710 Fax: 530-241-7838 | |
Laurel Bennett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 Lake Blvd Ste A, Redding, CA 96003 Phone: 530-337-5750 | |
Julie Schock, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 530-246-5710 Fax: 530-241-7838 | |
Kristin Marie Trevor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1255 Liberty St, Redding, CA 96001 Phone: 530-246-2467 Fax: 530-242-9460 | |
Erin Baldwin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 530-246-5710 | |
Brian A Pongracz, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2624 Edith Ave, Redding, CA 96001 Phone: 530-806-1190 Fax: 530-229-7946 |