Debra Theriot, CNS | |
13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | |
(480) 301-8000 | |
Not Available |
Full Name | Debra Theriot |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 13400 E Shea Blvd, Scottsdale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972517696 | NPI | - | NPPES |
1174793 | Medicaid | LA | |
00111047 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 60241 (Louisiana) | Primary |
364S00000X | Clinical Nurse Specialist | AP2474 (Arizona) | Secondary |
Entity Name | Ochsner Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Mailing Address | Practice Location Address |
---|---|
Debra Theriot, CNS 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 Ph: (480) 301-8000 | Debra Theriot, CNS 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 Ph: (480) 301-8000 |
Mrs. Tamera Ann Youngblood, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14570 E Sweetwater Ave, Scottsdale, AZ 85259 Phone: 602-463-8064 Fax: 800-877-0713 | |
Ira Eunice Arandia Mauro, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9201 E Mountain View Rd, Scottsdale, AZ 85258 Phone: 855-246-6287 | |
Mr. Brett Lee Leifson, APRN MSN PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7373 N Scottsdale Rd Ste A199, Scottsdale, AZ 85253 Phone: 702-805-5360 Fax: 702-977-7488 | |
Patricia Li, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15425 N Greenway Hayden Loop Ste A300, Scottsdale, AZ 85260 Phone: 480-607-1124 Fax: 480-607-1087 | |
Marci Farquhar-snow, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Helen Walker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10200 N 92nd St Ste 150, Scottsdale, AZ 85258 Phone: 480-860-8488 Fax: 480-860-8498 | |
Amy L Swanholm, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11333 N Scottsdale Rd Ste 230, Scottsdale, AZ 85254 Phone: 480-631-7373 Fax: 480-631-7374 |