Heidi L Davis, CPNP | |
151 State Route 10 E, Ste 105, Succasunna, NJ 07876-1452 | |
(973) 584-0002 | |
(973) 584-7107 |
Full Name | Heidi L Davis |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 151 State Route 10 E, Succasunna, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649324740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 26NJ00065300 (New Jersey) | Primary |
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Mailing Address | Practice Location Address |
---|---|
Heidi L Davis, CPNP 50 Hillcrest Ave, Montvale, NJ 07645-2228 Ph: (201) 505-9155 | Heidi L Davis, CPNP 151 State Route 10 E, Ste 105, Succasunna, NJ 07876-1452 Ph: (973) 584-0002 |
Mrs. Michelle Janice Roberts, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 66 Sunset Strip Ste 407, Succasunna, NJ 07876 Phone: 973-252-1676 | |
Karin A Marshello-stosic, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Route 10 E Ste 103, Succasunna, NJ 07876 Phone: 973-584-9984 Fax: 973-584-9954 | |
Ms. Eileen M Corcoran, RN, APN,C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 State Route 10 E, Suite 105, Succasunna, NJ 07876 Phone: 973-584-0002 | |
Denise Cusick, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 66 Sunset Strip Ste 407, Succasunna, NJ 07876 Phone: 973-252-1676 Fax: 973-252-1686 | |
Maitanya Macalino-manuel, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 66 Sunset Strip Ste 407, Succasunna, NJ 07876 Phone: 973-252-1676 | |
Oluwatosin Olunuga, LPN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Pleasant Village Dr, Succasunna, NJ 07876 Phone: 973-409-1406 |