Amanda R Malina, APRN | |
1760 County Road J, Wahoo, NE 68066-4152 | |
(402) 443-4191 | |
(402) 443-1402 |
Full Name | Amanda R Malina |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 1760 County Road J, Wahoo, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649573411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 111179 (Nebraska) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 111179 (Nebraska) | Primary |
Entity Name | Physicians Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345 |
Mailing Address | Practice Location Address |
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Amanda R Malina, APRN 1760 County Road J, Wahoo, NE 68066-4152 Ph: (402) 443-4191 | Amanda R Malina, APRN 1760 County Road J, Wahoo, NE 68066-4152 Ph: (402) 443-4191 |
Aaron Michael Bartek, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1760 County Road J, Wahoo, NE 68066 Phone: 402-443-4191 Fax: 402-443-1451 | |
Abigail Kay Chase, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1760 County Road J, Wahoo, NE 68066 Phone: 402-443-4191 Fax: 402-443-1402 | |
Alexandria Elizabeth Janssen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1760 County Road J, Wahoo, NE 68066 Phone: 402-443-4191 | |
Patricia Ann Teeter, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1760 County Road J, Wahoo, NE 68066 Phone: 402-443-4191 Fax: 402-443-1451 | |
Melissa Kaye Fulton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1760 County Road J, Wahoo, NE 68066 Phone: 402-443-4191 Fax: 402-443-1451 | |
Nicole E Josephsen, APRN NURSE PRACTITIO Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1760 County Road J, Wahoo, NE 68066 Phone: 402-443-4191 Fax: 402-443-1402 |