Dr Grace Nicole Thayer, APRN | |
92 N Dean Rd Ste 100, Orlando, FL 32825-3769 | |
(407) 916-0304 | |
Not Available |
Full Name | Dr Grace Nicole Thayer |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 92 N Dean Rd Ste 100, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255051033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 11021558 (Florida) | Secondary |
363L00000X | Nurse Practitioner | 11021558 (Florida) | Primary |
Entity Name | Advanced Neurotherapeutics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962987610 PECOS PAC ID: 2163760117 Enrollment ID: O20190218000070 |
Mailing Address | Practice Location Address |
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Dr Grace Nicole Thayer, APRN 845 E Charing Cross Cir, Lake Mary, FL 32746-3774 Ph: () - | Dr Grace Nicole Thayer, APRN 92 N Dean Rd Ste 100, Orlando, FL 32825-3769 Ph: (407) 916-0304 |
Janine Marie Kyte, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5449 S Semoran Blvd, Suite 14, Orlando, FL 32822 Phone: 407-322-8645 Fax: 407-322-8725 | |
Latoya Wells, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Mercy Dr, Wellness Program, Orlando, FL 32808 Phone: 407-822-5064 Fax: 407-532-1088 | |
Aymara Del Pino, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 E Ridgewood St, Orlando, FL 32803 Phone: 407-841-1100 | |
Mr. Heng Chai Lai, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 86 W Underwood St, Orlando, FL 32806 Phone: 321-843-5270 Fax: 321-843-5177 | |
Mrs. Ellen G Tindal, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 W Gore St, Orlando, FL 32806 Phone: 321-841-3338 Fax: 321-841-2170 | |
Ms. Dawn Michelle Fowler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 89 W Copeland Dr, Orlando, FL 32806 Phone: 321-841-7550 Fax: 321-841-8185 | |
Rachell Renee Davis, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 736 N Magnolia Ave, Orlando, FL 32803 Phone: 407-423-7149 Fax: 407-422-0470 |