Gwen A Manley, FNP | |
157 E Main St, Norwich, NY 13815-1521 | |
(607) 336-2400 | |
(607) 334-5618 |
Full Name | Gwen A Manley |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 157 E Main St, Norwich, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245270461 | NPI | - | NPPES |
02282108 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F332297 (New York) | Primary |
Entity Name | Community Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932100393 PECOS PAC ID: 6103805163 Enrollment ID: O20040714001386 |
Mailing Address | Practice Location Address |
---|---|
Gwen A Manley, FNP 6 Franklin Rd, Walton, NY 13856-1214 Ph: (607) 865-5800 | Gwen A Manley, FNP 157 E Main St, Norwich, NY 13815-1521 Ph: (607) 336-2400 |
Kendall Saber, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4040 | |
Laura Ann Everett, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Calvary Dr, Norwich, NY 13815 Phone: 607-336-6362 | |
Kristen Kay Menard, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4950 | |
Tonya Marie Brownell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Calvary Dr, Norwich, NY 13815 Phone: 607-336-6362 Fax: 607-336-2028 | |
Jessica Derochie, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45 Hale St, Norwich, NY 13815 Phone: 607-336-1479 | |
Jennifer Ann Waldron, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 179 N Broad St, Norwich, NY 13815 Phone: 607-337-4271 Fax: 607-337-4049 |