| Alyssa Clark, DNP, FNP-BC | |
|
24675 Lahser Rd, Southfield, MI 48033-3238 | |
| (586) 453-8682 | |
| Not Available |
| Full Name | Alyssa Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 24675 Lahser Rd, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184293805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704334727NSA2109N (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704334727 (Michigan) | Primary |
| Entity Name | Ascension Southeast Michigan Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235395195 PECOS PAC ID: 3577843838 Enrollment ID: O20161205000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Clark, DNP, FNP-BC 53075 Pimpernil Ln, Chesterfield, MI 48051-1779 Ph: (586) 453-8682 | Alyssa Clark, DNP, FNP-BC 24675 Lahser Rd, Southfield, MI 48033-3238 Ph: (586) 453-8682 |
Mrs. Theonna Monique Hindmon-harris, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21700 Northwestern Hwy Ste 815, Southfield, MI 48075 Phone: 248-557-3337 Fax: 248-557-3339 | |
Charmaine Adegeye, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25240 Lahser Rd Ste 2, Southfield, MI 48033 Phone: 248-564-1367 Fax: 734-725-6746 | |
Ms. Jessica L Beacome, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 101 Fischer Center, Southfield, MI 48075 Phone: 248-849-8716 Fax: 248-849-2565 | |
Teresea Ann Zarza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2528 Fax: 248-849-8256 | |
Nicole Noel Silvestri, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489 | |
Mrs. Caroline B Trapp, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29201 Telegraph Rd, Suite 404, Southfield, MI 48034 Phone: 248-355-0880 Fax: 248-355-9232 | |
Mrs. Bernadette Ann Bruno, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2536 |