Ashley N Weathers, CFNP | |
109 N Broadway St, South West City, MO 64863-9417 | |
(417) 762-3287 | |
(417) 762-3255 |
Full Name | Ashley N Weathers |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 109 N Broadway St, South West City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629734934 | NPI | - | NPPES |
436809082 | Other | MO | FEIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 2021038566 (Missouri) | Primary |
Entity Name | Sgoh Acquisition Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114924768 PECOS PAC ID: 5092616276 Enrollment ID: O20040205000647 |
Mailing Address | Practice Location Address |
---|---|
Ashley N Weathers, CFNP 109 N Broadway St, South West City, MO 64863-9417 Ph: (417) 762-3287 | Ashley N Weathers, CFNP 109 N Broadway St, South West City, MO 64863-9417 Ph: (417) 762-3287 |
Shaye Wilson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10700 S State Highway 43, South West City, MO 64863 Phone: 417-762-5250 Fax: 177-625-2524 | |
Audrey Anne Hubler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 N Broadway St, South West City, MO 64863 Phone: 417-762-3287 Fax: 417-762-3255 |