Haven Shaye Brolsma, CRNP | |
101 Ivory Pl, Madison, AL 35758-2349 | |
(256) 325-0236 | |
Not Available |
Full Name | Haven Shaye Brolsma |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 101 Ivory Pl, Madison, Alabama |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316541287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-157639 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Empower2, Llc | 6103185145 | 12 |
Entity Name | Empower2, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669985503 PECOS PAC ID: 6103185145 Enrollment ID: O20180119000244 |
Mailing Address | Practice Location Address |
---|---|
Haven Shaye Brolsma, CRNP 2926 County Road 143, Bremen, AL 35033-7031 Ph: (256) 590-1502 | Haven Shaye Brolsma, CRNP 101 Ivory Pl, Madison, AL 35758-2349 Ph: (256) 325-0236 |
Krista Young, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-975-4291 Fax: 256-288-3334 | |
Dr. Kaitlyn Wendolowski, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12100 County Line Rd Ste A2, Madison, AL 35756 Phone: 256-724-7714 Fax: 256-724-7065 | |
Natalie R Baker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-325-4365 Fax: 256-461-0393 | |
Chastity D Ayers, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-288-3333 Fax: 256-288-3334 | |
Mr. Blake Hamilton Gilliam, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1230 Slaughter Rd Ste C, Madison, AL 35758 Phone: 256-325-0955 | |
Mrs. Ruth Morris Church, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8216 Madison Blvd, Madison, AL 35758 Phone: 256-464-9991 Fax: 256-464-9994 | |
Erin Stinnett, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7500 Highway 72 W, Madison, AL 35758 Phone: 256-964-8338 |