Gloria Lucille Harden, FNP-C | |
209 N Camellia Blvd, Fort Valley, GA 31030-3368 | |
(478) 822-0054 | |
Not Available |
Full Name | Gloria Lucille Harden |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 209 N Camellia Blvd, Fort Valley, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295387645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F07190440 (Georgia) | Primary |
Entity Name | Careconnect Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063436624 PECOS PAC ID: 7810980794 Enrollment ID: O20040406001286 |
Entity Name | Caedel Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710922075 PECOS PAC ID: 0648258988 Enrollment ID: O20040712001450 |
Mailing Address | Practice Location Address |
---|---|
Gloria Lucille Harden, FNP-C 209 N Camellia Blvd, Fort Valley, GA 31030-3368 Ph: (478) 822-0054 | Gloria Lucille Harden, FNP-C 209 N Camellia Blvd, Fort Valley, GA 31030-3368 Ph: (478) 822-0054 |
Alisha Nicole Thomas, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Avera Dr, Fort Valley, GA 31030 Phone: 478-825-3317 Fax: 478-825-5499 | |
Janet Kay Logan, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 803 Mlk Drive, Fort Valley, GA 31030 Phone: 478-827-0710 Fax: 478-827-0677 | |
Georganne Vogt, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Bluebird Blvd, Fort Valley, GA 31030 Phone: 478-825-8954 | |
Raymond Root, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1295 Sullivan Rd, Fort Valley, GA 31030 Phone: 706-588-8742 | |
Kasey Eavenson Fish, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Bluebird Blvd, Fort Valley, GA 31030 Phone: 478-825-7000 | |
Kristie Lynn Hale, APRN-FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 N Camellia Blvd, Fort Valley, GA 31030 Phone: 478-822-0054 |