Diana Huizar, FNP | |
1405 California Ave, Dos Palos, CA 93620-2300 | |
(209) 392-2111 | |
(209) 392-2850 |
Full Name | Diana Huizar |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1405 California Ave, Dos Palos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922460914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 684594 (California) | Primary |
Entity Name | Community Health Centers Of America |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891207684 PECOS PAC ID: 3476813460 Enrollment ID: O20180213001169 |
Mailing Address | Practice Location Address |
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Diana Huizar, FNP 1910 Customer Care Way, Atwater, CA 95301-5167 Ph: (209) 384-6493 | Diana Huizar, FNP 1405 California Ave, Dos Palos, CA 93620-2300 Ph: (209) 392-2111 |
Ms. Felicia Y Sims, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 California Ave, Dos Palos, CA 93620 Phone: 209-722-4842 | |
Mrs. Alice Ruth Foster-smith, FNP/PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2118 Marguerite St, Dos Palos, CA 93620 Phone: 209-392-6121 Fax: 559-392-8872 | |
Shannon Nicol Clasen, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 California Ave, Dos Palos, CA 93620 Phone: 866-682-4842 Fax: 877-436-1494 | |
Donna Pam Tucker, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 California Ave, Dos Palos, CA 93620 Phone: 678-485-1906 |