Andrea Deserae King, APRN | |
1661 State Route 522 Unit 2, Wheelersburg, OH 45694-8120 | |
(740) 574-8728 | |
(740) 574-8918 |
Full Name | Andrea Deserae King |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1661 State Route 522 Unit 2, Wheelersburg, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376916361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3010987 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | COA.18373-NP (Ohio) | Primary |
Entity Name | Ashland Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851346720 PECOS PAC ID: 7719882521 Enrollment ID: O20040205001138 |
Mailing Address | Practice Location Address |
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Andrea Deserae King, APRN 1661 State Route 522 Unit 2, Wheelersburg, OH 45694-8120 Ph: (740) 574-8728 | Andrea Deserae King, APRN 1661 State Route 522 Unit 2, Wheelersburg, OH 45694-8120 Ph: (740) 574-8728 |
Kayla M Tackett, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8991 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-716-7086 | |
Jennifer Knapp, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8750 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9301 Fax: 740-574-1651 | |
Deanna Crawford, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8101 Hayport Rd, Wheelersburg, OH 45694 Phone: 740-355-8562 | |
Mr. Brennon E Giles, NURSE PRACTIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8770 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-356-4100 Fax: 740-355-4182 | |
Kristina Wilburn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8750 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9301 Fax: 740-574-1651 | |
Adam C Bray, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8770 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9090 Fax: 740-354-1806 | |
Angela Tackett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8770 Ohio River Rd, Wheelersburg, OH 45694 Phone: 740-574-9090 |