Andrea Mullins Quillen, APRN | |
104 S Front Ave, Prestonsburg, KY 41653-1614 | |
(606) 886-8572 | |
(606) 886-4433 |
Full Name | Andrea Mullins Quillen |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 104 S Front Ave, Prestonsburg, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851918791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3014721 (Kentucky) | Primary |
Entity Name | Mountain Comprehensive Care Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760491674 PECOS PAC ID: 5294720553 Enrollment ID: O20040416000380 |
Mailing Address | Practice Location Address |
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Andrea Mullins Quillen, APRN 104 S Front Ave, Prestonsburg, KY 41653-1614 Ph: (606) 886-8572 | Andrea Mullins Quillen, APRN 104 S Front Ave, Prestonsburg, KY 41653-1614 Ph: (606) 886-8572 |
Zelda Mcintosh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Diana Lynn Herald, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Beverly Jane Daniel, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5230-ky-321#8, Prestonsburg, KY 41653 Phone: 606-789-7587 | |
Leah Nicole May, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Lindsay Michelle Burroughs, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Jayme Lynn Rice, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-8511 | |
Angela M Campbell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 |