Brooke Fandrich, PMHNP | |
404 N St Ste 202, Rock Springs, WY 82901-5474 | |
(307) 630-3466 | |
Not Available |
Full Name | Brooke Fandrich |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 404 N St Ste 202, Rock Springs, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033785860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 49873 (Wyoming) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 13074058-4405 (Utah) | Primary |
Entity Name | Liv In-home Counseling & Care Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740604057 PECOS PAC ID: 5698992352 Enrollment ID: O20140804002438 |
Mailing Address | Practice Location Address |
---|---|
Brooke Fandrich, PMHNP 2208 Weatherby Ave, Rock Springs, WY 82901-6841 Ph: (307) 212-1042 | Brooke Fandrich, PMHNP 404 N St Ste 202, Rock Springs, WY 82901-5474 Ph: (307) 630-3466 |
Mrs. Dana Grenier, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2706 Ankeny Way, Rock Springs, WY 82901 Phone: 307-352-6689 | |
Laura J Heitz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2620 Commercial Way, Suite 051, Rock Springs, WY 82901 Phone: 307-382-2080 Fax: 307-382-5099 | |
Andrea Valdez, PMHNP-BC, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1124 College Dr, Rock Springs, WY 82901 Phone: 307-352-6680 | |
Emily C James, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1180 College Dr, Rock Springs, WY 82901 Phone: 307-352-8383 Fax: 307-352-8477 | |
Louanna Marie Bradley, M.S., A.P.N-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 College Dr, Suite A, Rock Springs, WY 82901 Phone: 307-362-1861 Fax: 307-362-1277 | |
Ibukun Oluwatosin Ojifinni, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2620 Commercial Way Ste 120, Rock Springs, WY 82901 Phone: 307-362-5116 Fax: 307-362-5145 |