Daenielle Taylor, | |
61 Corabelle Ave, Lodi, NJ 07644-1603 | |
(973) 930-6181 | |
Not Available |
Full Name | Daenielle Taylor |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 61 Corabelle Ave, Lodi, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386394286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | AG11210030 (New Jersey) | Primary |
Entity Name | Excelcare Medical Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992736300 PECOS PAC ID: 4284647868 Enrollment ID: O20060727000044 |
Mailing Address | Practice Location Address |
---|---|
Daenielle Taylor, 61 Corabelle Ave, Lodi, NJ 07644-1603 Ph: () - | Daenielle Taylor, 61 Corabelle Ave, Lodi, NJ 07644-1603 Ph: (973) 930-6181 |
Ana Mariel Builes, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 552 Harrison Ave, Lodi, NJ 07644 Phone: 973-981-3635 | |
Renatta Jacobs, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Spring St, Lodi, NJ 07644 Phone: 347-837-6360 | |
Dr. Catherine Mary Jennings, DNP, MSN, APN,C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 262 S Main St, Lodi, NJ 07644 Phone: 201-559-6000 Fax: 973-786-5806 | |
Angela A Moss, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Mckinley Ave, Lodi, NJ 07644 Phone: 732-687-0383 | |
Mr. Alberto Sarmiento, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 69 Hamilton Ave, Lodi, NJ 07644 Phone: 201-310-0732 | |
John A Gasataya, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 348 Harrison Ave, Lodi, NJ 07644 Phone: 212-804-8226 |