Breanna Marie Wesselhoft, APRN FNPC | |
21001 Se 29th St, Harrah, OK 73045-6591 | |
(405) 391-5526 | |
Not Available |
Full Name | Breanna Marie Wesselhoft |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 21001 Se 29th St, Harrah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346020468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 215458 (Oklahoma) | Primary |
Entity Name | Icare Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881190833 PECOS PAC ID: 0840555777 Enrollment ID: O20180524001890 |
Mailing Address | Practice Location Address |
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Breanna Marie Wesselhoft, APRN FNPC 1912 Cimarron Trl, Choctaw, OK 73020-8016 Ph: (405) 464-0191 | Breanna Marie Wesselhoft, APRN FNPC 21001 Se 29th St, Harrah, OK 73045-6591 Ph: (405) 391-5526 |
Jennifer Mccammond, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20213 Ne 23rd St Ste B1, Harrah, OK 73045 Phone: 405-347-9017 | |
Tiffani Lowell, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18961 Ne 23rd St, Harrah, OK 73045 Phone: 405-390-1800 Fax: 405-390-3846 | |
Candice Hamre, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21001 Se 29th St, Harrah, OK 73045 Phone: 405-391-5526 | |
Amanda Marie Fite, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18961 Ne 23rd St, Harrah, OK 73045 Phone: 405-772-4650 Fax: 405-772-4653 | |
Mr. David D Dewitt, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6332 Futurity Dr, Harrah, OK 73045 Phone: 405-229-5885 | |
Ceferino Dumanas Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21001 Se 29th St, Harrah, OK 73045 Phone: 405-391-5526 |