Camille Menino, CRNP | |
2710 Dolbeer St, Eureka, CA 95501-4736 | |
(707) 267-2060 | |
(707) 267-2061 |
Full Name | Camille Menino |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2710 Dolbeer St, Eureka, California |
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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1962644096 | NPI | - | NPPES |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
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Camille Menino, CRNP 200 W Center Street Promenade Ste 300, Anaheim, CA 92805-3960 Ph: (714) 449-4841 | Camille Menino, CRNP 2710 Dolbeer St, Eureka, CA 95501-4736 Ph: (707) 267-2060 |
Elizabeth Wachtel O'brien, CNM, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 Walford Ave, Suite B, Eureka, CA 95503 Phone: 707-445-3443 Fax: 707-445-1848 | |
Rachel Hatchimonji, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2280 Harrison Ave, Eureka, CA 95501 Phone: 707-443-9371 | |
Ms. Suzanne Dietz, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-269-7051 Fax: 707-269-7054 | |
Kathy Sattler, RN , FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2675 Harris St, Eureka, CA 95503 Phone: 707-443-8335 Fax: 707-443-7327 | |
Kabou Xiong, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-269-4250 | |
Marice Thomas, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2675 Harris St, Eureka, CA 95503 Phone: 707-443-8335 Fax: 707-443-7327 | |
Ms. Susan Blankenhorn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2990 |