| Florencia Karina Miranda Chumpitaz, NP | |
|
359 Lakeport Blvd, Lakeport, CA 95453-5412 | |
| (707) 513-6002 | |
| Not Available |
| Full Name | Florencia Karina Miranda Chumpitaz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 359 Lakeport Blvd, Lakeport, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356121404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 95027548 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95027548 (California) | Primary |
| Entity Name | Lake County Tribal Health Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Florencia Karina Miranda Chumpitaz, NP Po Box 672, Cobb, CA 95426-0672 Ph: (707) 513-6002 | Florencia Karina Miranda Chumpitaz, NP 359 Lakeport Blvd, Lakeport, CA 95453-5412 Ph: (707) 513-6002 |
Shaye Larie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 | |
Pamela Balch Maes, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5108 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-1840 Fax: 707-262-5844 | |
Charissa M Barsos, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 Fax: 707-263-5019 | |
Ms. Patricia Lynn Sanders, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd East, Lakeport, CA 95453 Phone: 707-262-5088 Fax: 707-262-5135 | |
Ellen Marie Boersma, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5150 Hill Rd E, #f, Lakeport, CA 95453 Phone: 707-262-3060 | |
Naah N/a Allotey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 487 S Main St, Lakeport, CA 95453 Phone: 707-263-4360 Fax: 707-253-4036 |