Hannah Nicole Durodola, C-PNP | |
1037 W Avenue N Ste 202, Palmdale, CA 93551-2002 | |
(661) 266-8400 | |
Not Available |
Full Name | Hannah Nicole Durodola |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1037 W Avenue N Ste 202, Palmdale, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407570898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 852599 (California) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 95018020 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Hannah Nicole Durodola, C-PNP 2821 W Avenue K12 Apt 118, Lancaster, CA 93536-1175 Ph: (661) 361-4321 | Hannah Nicole Durodola, C-PNP 1037 W Avenue N Ste 202, Palmdale, CA 93551-2002 Ph: (661) 266-8400 |
Wendy Macedo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Lockheed Way, Palmdale, CA 93599 Phone: 661-572-2190 Fax: 661-572-2150 | |
Kent Elias Perttula, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38600 Medical Center Dr, Palmdale, CA 93551 Phone: 805-338-3282 | |
Dongyon Roh, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 819 Auto Center Dr, Palmdale, CA 93551 Phone: 661-267-6876 | |
Jeff Advincula, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38460 5th St W Ste D, Palmdale, CA 93551 Phone: 661-273-1614 | |
Mrs. Chrystal Gill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 W Avenue M4, Palmdale, CA 93551 Phone: 818-621-2786 | |
Miss Stacey Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2706 Senna Ln, Palmdale, CA 93551 Phone: 661-526-3945 | |
Mrs. Bobbie Lee Tahar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 W Palmdale Blvd Ste Q, Palmdale, CA 93551 Phone: 661-947-3300 |