Mrs Eden Marie Villiard, FNP | |
6419 Bristol Hwy, Piney Flats, TN 37686-5208 | |
(423) 538-5202 | |
Not Available |
Full Name | Mrs Eden Marie Villiard |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 6419 Bristol Hwy, Piney Flats, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164144937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 32491 (Tennessee) | Primary |
Entity Name | Emmaus Community Healthcare, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379093 PECOS PAC ID: 3870560741 Enrollment ID: O20040911000150 |
Mailing Address | Practice Location Address |
---|---|
Mrs Eden Marie Villiard, FNP 133 Boone Ridge Dr Apt 79, Johnson City, TN 37615-5008 Ph: (276) 220-0678 | Mrs Eden Marie Villiard, FNP 6419 Bristol Hwy, Piney Flats, TN 37686-5208 Ph: (423) 538-5202 |
Lindsey Paige Pendergrass, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5554 Highway 11 E, Piney Flats, TN 37686 Phone: 423-666-0030 Fax: 423-666-0031 | |
Christy A Rabetoy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 116 Allison Timbers Rd, Piney Flats, TN 37686 Phone: 423-319-7313 | |
Mary Catherine Elizabeth Shipley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6419 Bristol Hwy, Piney Flats, TN 37686 Phone: 423-538-5202 Fax: 423-538-8208 | |
Camellia N Mccommons, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5554 Nwy 11 E, Piney Flats, TN 37686 Phone: 423-666-0030 Fax: 423-666-0031 |