Erika Willetts, CNM | |
1680 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003-4821 | |
(904) 264-9555 | |
(904) 215-7960 |
Full Name | Erika Willetts |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1680 Eagle Harbor Pkwy Ste A, Fleming Island, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235507310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | APRN11034596 (Florida) | Primary |
367A00000X | Advanced Practice Midwife | 201506378NP-PP (Oregon) | Secondary |
Entity Name | Salem Clinic, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912935594 PECOS PAC ID: 7517954514 Enrollment ID: O20040430000150 |
Mailing Address | Practice Location Address |
---|---|
Erika Willetts, CNM Po Box 748817, Atlanta, GA 30374-8817 Ph: (813) 286-0033 | Erika Willetts, CNM 1680 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003-4821 Ph: (904) 264-9555 |
Dawn Louise Hartin, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1680 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003 Phone: 904-264-9555 | |
Mrs. Lindsey H. Boyd, CNM ARNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1680 Eagle Harbor Pkwy Ste A, Fleming Island, FL 32003 Phone: 813-286-0033 Fax: 813-282-1806 |