Angel Nashae Street, | |
1203 Poplar Ave, Memphis, TN 38104-7241 | |
(901) 274-3550 | |
Not Available |
Full Name | Angel Nashae Street |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1203 Poplar Ave, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326796327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 31327 (Tennessee) | Primary |
Entity Name | Mt Auburn Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374 |
Mailing Address | Practice Location Address |
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Angel Nashae Street, 1203 Poplar Ave, Memphis, TN 38104-7241 Ph: () - | Angel Nashae Street, 1203 Poplar Ave, Memphis, TN 38104-7241 Ph: (901) 274-3550 |
Amy L Devore, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2500 Peres Ave, Memphis, TN 38108 Phone: 901-515-5500 Fax: 901-458-5591 | |
Nekea Alyse Smith, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1203 Poplar Ave, Memphis, TN 38104 Phone: 901-274-3550 | |
Alexis Dunn Amore, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1203 Poplar Ave, Memphis, TN 38104 Phone: 901-274-3550 | |
Edna Marie Lewis, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-515-3800 Fax: 901-302-2491 | |
Kemetra Shen'ee King, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1726 Poplar Ave, Memphis, TN 38104 Phone: 901-274-3550 | |
Mrs. Amanda Lynn Williams, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-515-3800 Fax: 901-302-2491 |