Alyssa Marie Russ, MSN, FNP-BC, RN | |
12167 Sheridan Blvd, Broomfield, CO 80020-2417 | |
(615) 425-4200 | |
Not Available |
Full Name | Alyssa Marie Russ |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 12167 Sheridan Blvd, Broomfield, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356023071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APN.0999059-NP (Colorado) | Primary |
Entity Name | The Little Clinic Of Colorado Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538354568 PECOS PAC ID: 5597821280 Enrollment ID: O20090304000640 |
Mailing Address | Practice Location Address |
---|---|
Alyssa Marie Russ, MSN, FNP-BC, RN 2620 Elm Hill Pike, Nashville, TN 37214-3108 Ph: () - | Alyssa Marie Russ, MSN, FNP-BC, RN 12167 Sheridan Blvd, Broomfield, CO 80020-2417 Ph: (615) 425-4200 |
Mrs. Melanie Jane Dennis, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 12537 Rivera St, Broomfield, CO 80020 Phone: 303-548-1924 | |
Ms. Mara Talin Minasian, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 Airport Way Ste 125, Broomfield, CO 80021 Phone: 970-310-3406 | |
Hollie Brieske, AGPCNP-B.C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5023 W 120th Ave, Suite #312, Broomfield, CO 80020 Phone: 720-644-9355 Fax: 720-523-1654 | |
Audrey Jo Haimes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2355 W 136th Ave, Broomfield, CO 80023 Phone: 303-658-9827 Fax: 303-658-9828 | |
Lora Shima, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12167 Sheridan Blvd, Broomfield, CO 80020 Phone: 303-658-9807 | |
Grace Ann Staehlin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2355 W 136th Ave, Broomfield, CO 80023 Phone: 303-658-9827 | |
Grayson Alexandra Braddy, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3694 Shadow Canyon Trl, Broomfield, CO 80020 Phone: 970-402-0667 |