Brandy Knudtson, | |
Po Box 854, Johnstown, CO 80534-0854 | |
(970) 578-9010 | |
(970) 578-9027 |
Full Name | Brandy Knudtson |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | Po Box 854, Johnstown, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194124420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0200392 (Colorado) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APN.0998741-NP (Colorado) | Primary |
Entity Name | Family Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960 |
Mailing Address | Practice Location Address |
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Brandy Knudtson, Po Box 854, Johnstown, CO 80534-0854 Ph: (970) 578-9010 | Brandy Knudtson, Po Box 854, Johnstown, CO 80534-0854 Ph: (970) 578-9010 |
Angela Serrano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 Johnstown Center Dr, Johnstown, CO 80534 Phone: 970-587-4974 | |
Mercedes Sue Safarpour, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4948 Thompson Pkwy Ste A, Johnstown, CO 80534 Phone: 720-361-2302 | |
Cherie Patterson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4401 Union St, Johnstown, CO 80534 Phone: 970-222-3669 | |
Carole J Way, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4435 Ronald Reagan Blvd, Johnstown, CO 80534 Phone: 970-619-8139 Fax: 970-612-8013 | |
Rachel Unruh, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4880 Thompson Pkwy # 116, Johnstown, CO 80534 Phone: 970-619-8139 | |
Alexa Potts, DNP, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4430 Ronald Reagan Boulevard, Suite 6208, Johnstown, CO 80534 Phone: 720-928-6998 | |
Ashley Mccormick, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4435 Ronald Reagan Blvd, Johnstown, CO 80534 Phone: 970-619-8139 |