Amy D Cleverly, | |
2115 E Dorothy Ln, Kettering, OH 45420-1176 | |
(937) 610-9174 | |
Not Available |
Full Name | Amy D Cleverly |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2115 E Dorothy Ln, Kettering, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992425268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0031583 (Ohio) | Primary |
Entity Name | The Little Clinic Of Ohio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982761896 PECOS PAC ID: 7719087584 Enrollment ID: O20070709000336 |
Mailing Address | Practice Location Address |
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Amy D Cleverly, 2620 Elm Hill Pike, Nashville, TN 37214-3108 Ph: () - | Amy D Cleverly, 2115 E Dorothy Ln, Kettering, OH 45420-1176 Ph: (937) 610-9174 |
Ms. Noriko Tsuchihashi Banerjee, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Lincoln Park Blvd, Suite 100, Kettering, OH 45429 Phone: 937-222-3118 Fax: 937-222-1436 | |
Erica Lee Ertel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 201, Kettering, OH 45429 Phone: 855-500-2873 Fax: 937-281-3992 | |
Richard Foreman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-522-9260 | |
Lashauna Hall, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Eric E Bowers, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-298-4331 | |
Mrs. Erika Vanwyck Thomas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2115 E Dorothy Ln, Kettering, OH 45420 Phone: 937-610-9174 | |
Ms. Danyell Margioras, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 |