Aundrianna Whiteside, | |
2751 Albright Rd, Kokomo, IN 46902-3996 | |
(855) 489-3227 | |
Not Available |
Full Name | Aundrianna Whiteside |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2751 Albright Rd, Kokomo, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1851923163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 71009765A (Indiana) | Primary |
Entity Name | Village Medical At Home Of Indiana Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235736067 PECOS PAC ID: 1456769330 Enrollment ID: O20210413002230 |
Entity Name | Downtown Primary Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598531881 PECOS PAC ID: 4981049582 Enrollment ID: O20240305000491 |
Mailing Address | Practice Location Address |
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Aundrianna Whiteside, 356 Boylston St Apt 5203, Carmel, IN 46032-6020 Ph: () - | Aundrianna Whiteside, 2751 Albright Rd, Kokomo, IN 46902-3996 Ph: (855) 489-3227 |
Cathy J Simms, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8571 Fax: 765-453-8637 | |
Miranda Tedder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700 | |
Mandy Vires, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 429 W Lincoln Rd, Kokomo, IN 46902 Phone: 317-654-3487 | |
Raymond Candelaria, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700 | |
Mrs. Lisa D Stults, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5900 | |
Angela J Bowman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901 Phone: 765-453-1254 Fax: 765-864-8732 | |
Mary Hendrix, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902 Phone: 765-864-4160 |