Gloria Yvonne Endicott, MSN,RN,CNL, CNP | |
1810 Mesquite Ave Ste B, Lake Havasu City, AZ 86403-5886 | |
(928) 453-4600 | |
Not Available |
Full Name | Gloria Yvonne Endicott |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1810 Mesquite Ave Ste B, Lake Havasu City, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598104218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | COA.14569-NP (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | NP95003184 (California) | Primary |
Entity Name | Minuteclinic Diagnostic Of Ohio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699747303 PECOS PAC ID: 2961425608 Enrollment ID: O20060109001066 |
Entity Name | Mount Carmel Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457617235 PECOS PAC ID: 6709793367 Enrollment ID: O20120727000563 |
Mailing Address | Practice Location Address |
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Gloria Yvonne Endicott, MSN,RN,CNL, CNP 2582 Park St, Millersport, OH 43046-9033 Ph: (937) 594-1768 | Gloria Yvonne Endicott, MSN,RN,CNL, CNP 1810 Mesquite Ave Ste B, Lake Havasu City, AZ 86403-5886 Ph: (928) 453-4600 |
Nikola Marie Neill, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1760 Mcculloch Blvd N, Ste 100, Lake Havasu City, AZ 86403 Phone: 928-854-5368 Fax: 928-854-4462 | |
Ms. Stephanie Louise Herrick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1987 Mcculloch Blvd N, Ste 101, Lake Havasu City, AZ 86403 Phone: 928-453-6963 Fax: 928-453-7011 | |
June Staley, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1845 Mcculloch Blvd N, Suite B-1, Lake Havasu City, AZ 86403 Phone: 928-453-2661 Fax: 928-453-2672 | |
Stephanie R Brison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-854-0060 | |
Allison Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Darion Alexxis Roush, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Mrs. Stevie Jean Mueller, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 365 Lake Havasu Ave S, Lake Havasu City, AZ 86403 Phone: 928-733-6293 |