Amber Gonzalez Grant, APNP | |
3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | |
(414) 771-7900 | |
Not Available |
Full Name | Amber Gonzalez Grant |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 3289 N Mayfair Rd, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386944122 | NPI | - | NPPES |
100013675 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4234-33 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 4234 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Quick Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609820729 PECOS PAC ID: 7719996792 Enrollment ID: O20060419000702 |
Entity Name | Aurora Advanced Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Amber Gonzalez Grant, APNP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Amber Gonzalez Grant, APNP 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 Ph: (414) 771-7900 |
Jessica Marie Denton, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10000 W Bluemound Rd, Wauwatosa, WI 53226 Phone: 414-324-2309 | |
Sarah J Parve, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4025 N 92nd St, Wauwatosa, WI 53222 Phone: 414-358-5453 | |
Anne Therese Helmer, NNP-BC, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Wauwatosa, WI 53226 Phone: 414-266-2950 | |
Alison Ward, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-874-4555 | |
Garth P Sharpee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3077 N Mayfair Rd Ste 100, Wauwatosa, WI 53222 Phone: 414-384-6700 Fax: 414-727-1058 | |
Maggie C Farrell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-773-4312 | |
Shannon Walowski, MSN, APNP, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 830 N 109th St Ste 1, Wauwatosa, WI 53226 Phone: 414-777-1811 Fax: 414-777-1812 |