Constance Roark, FNP | |
1 Mercado St, Ste 160, Durango, CO 81301-7306 | |
(970) 385-9850 | |
(970) 385-9854 |
Full Name | Constance Roark |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1 Mercado St, Durango, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427193598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 685472 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | APN.0993032 (Colorado) | Primary |
Entity Name | Healogics Specialty Physicians Of Colorado-professional Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114331006 PECOS PAC ID: 4183941834 Enrollment ID: O20150318000983 |
Mailing Address | Practice Location Address |
---|---|
Constance Roark, FNP 1 Mercado St, Ste 160, Durango, CO 81301-7306 Ph: (970) 385-9850 | Constance Roark, FNP 1 Mercado St, Ste 160, Durango, CO 81301-7306 Ph: (970) 385-9850 |
Stephanie Marie Kirk, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 Escalante Dr Ste 201, Durango, CO 81303 Phone: 970-247-0042 Fax: 970-259-8837 | |
Kara Bradford, RN-BSN FNP-STUDENT Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Mercado St Ste 160, Durango, CO 81301 Phone: 970-385-9850 | |
Amy Potter, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 E 3rd Ave Ste 108, Durango, CO 81301 Phone: 970-403-6675 | |
Daniel Bruce Keuning, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Three Springs Blvd, Unit 270, Durango, CO 81301 Phone: 970-731-9190 Fax: 970-731-9196 | |
Mrs. Lisa Isenberg, MSN PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Mercado St, Suite 160, Durango, CO 81301 Phone: 970-385-9850 Fax: 970-385-9854 | |
Carla M Mccall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 E 3rd Ave, Durango, CO 81301 Phone: 970-247-2043 | |
Amanda Worsham Dunaway, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Mercado St Ste 130, Durango, CO 81301 Phone: 970-247-1120 Fax: 970-247-1128 |