Amanda Slattery, PMHNP | |
1600 W 24th St, Pueblo, CO 81003-1411 | |
(719) 546-4000 | |
Not Available |
Full Name | Amanda Slattery |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1600 W 24th St, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366180523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APN.0997086-NP (Colorado) | Primary |
Entity Name | Impact Psychiatric Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871035543 PECOS PAC ID: 3870870710 Enrollment ID: O20170503000259 |
Mailing Address | Practice Location Address |
---|---|
Amanda Slattery, PMHNP 6583 Thistlewood St, Colorado Springs, CO 80923-6409 Ph: (719) 288-3612 | Amanda Slattery, PMHNP 1600 W 24th St, Pueblo, CO 81003-1411 Ph: (719) 546-4000 |
Paula Jiron-finn, ACNP/FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 E Riverwalk Unit 200, Pueblo, CO 81003 Phone: 719-543-8346 Fax: 719-545-1829 | |
Brian C White, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 226 1/2 S Union Ave Unit 205, Pueblo, CO 81003 Phone: 719-225-0637 | |
Monica A Flynn, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41 Montebello Rd, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0110 | |
Coral Breanne Martinez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 N Grand Ave Ste 150, Pueblo, CO 81003 Phone: 719-595-7680 | |
Alexandria Brook Davis-mitchell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41 Montebello Rd Ste 116, Pueblo, CO 81001 Phone: 719-423-1500 | |
Lynne M Evetts, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 Fax: 719-543-5340 | |
Phebe Golden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-562-2900 |