Danielle Raven Pender, FNP | |
271 Medical Park Blvd, Bristol, TN 37620-7455 | |
(423) 274-8600 | |
Not Available |
Full Name | Danielle Raven Pender |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 271 Medical Park Blvd, Bristol, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326815622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 35159 (Tennessee) | Primary |
Entity Name | Wellmont Cardiology Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376575035 PECOS PAC ID: 5799970281 Enrollment ID: O20101215000083 |
Entity Name | Wellmont Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
Mailing Address | Practice Location Address |
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Danielle Raven Pender, FNP 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Danielle Raven Pender, FNP 271 Medical Park Blvd, Bristol, TN 37620-7455 Ph: (423) 274-8600 |
Mrs. Kelly Carter Simcox, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 212 Midway Medical Park, Bristol, TN 37620 Phone: 423-844-6515 Fax: 423-652-2590 | |
Mrs. Theresa M Kalb, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 527 Redstone Dr Unit 21, Bristol, TN 37620 Phone: 607-351-1793 | |
Kimi Kay Guffey, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2137 Volunteer Pkwy Ste 5, Bristol, TN 37620 Phone: 423-722-5000 Fax: 423-722-5130 | |
Laura Ann Eller, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2298 Highway 126, Bristol, TN 37620 Phone: 307-371-1381 | |
Shellie Rose Butler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2137 Volunteer Parkway, Suite 5, Bristol, TN 37620 Phone: 423-722-5000 Fax: 423-722-5130 | |
Mrs. Jo Anne Roe Viers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Blvd, Suite 458-w, Bristol, TN 37620 Phone: 423-844-4975 Fax: 423-844-4987 | |
Mikayla B Duncan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 271 Medical Park Blvd, Bristol, TN 37620 Phone: 423-274-8600 Fax: 423-390-6845 |