Bonnie Nadaene Grude, | |
5903 Gabriel, Shawnee, OK 74804-9334 | |
(918) 470-0324 | |
Not Available |
Full Name | Bonnie Nadaene Grude |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5903 Gabriel, Shawnee, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154905321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 201526 (Oklahoma) | Primary |
Entity Name | Simple Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871035022 PECOS PAC ID: 2961545207 Enrollment ID: O20100208000825 |
Entity Name | American Current Care Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871770784 PECOS PAC ID: 9739260019 Enrollment ID: O20111108000162 |
Entity Name | Williams Medical Group Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
Mailing Address | Practice Location Address |
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Bonnie Nadaene Grude, 701 Ne 36th St, Oklahoma City, OK 73105-7203 Ph: () - | Bonnie Nadaene Grude, 5903 Gabriel, Shawnee, OK 74804-9334 Ph: (918) 470-0324 |
Dustin Wade, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2508 N Harrison St, Shawnee, OK 74804 Phone: 405-585-2030 | |
Mrs. Sabrina R Lafrance, CNP-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Redbud Ln, Shawnee, OK 74801 Phone: 509-554-9250 | |
Dr. Magdalyn Boegler, DNP, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3700 N Kickapoo Ave Ste 100, Shawnee, OK 74804 Phone: 405-214-1700 | |
Jessica Michele Collett, APRN, FNP-C, SANE-A Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 632 N Broadway Ave, Shawnee, OK 74801 Phone: 405-768-4904 Fax: 405-768-4934 | |
Susan George, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-878-5850 Fax: 405-701-7631 | |
Cindy Cheatwood, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2508 N Harrison St, Shawnee, OK 74804 Phone: 405-585-2030 Fax: 405-585-2859 |