Holly Nicole Myles, NP | |
118 W Drexel Pkwy, Rensselaer, IN 47978-7344 | |
(219) 866-4300 | |
(219) 866-7591 |
Full Name | Holly Nicole Myles |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 118 W Drexel Pkwy, Rensselaer, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922037811 | NPI | - | NPPES |
000000668422 | Other | IN | ANTHEM PROVIDER NUMBER |
200844660 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 71002110A (Indiana) | Secondary |
363L00000X | Nurse Practitioner | 71002110A (Indiana) | Primary |
Entity Name | Arnett Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
Entity Name | Franciscan Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
---|---|
Holly Nicole Myles, NP Po Box 781076, Detroit, MI 48278-6633 Ph: (317) 528-4800 | Holly Nicole Myles, NP 118 W Drexel Pkwy, Rensselaer, IN 47978-7344 Ph: (219) 866-4300 |
Ms. Mary Jo Elkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 919 E Grace St, Rensselaer, IN 47978 Phone: 219-866-0411 Fax: 219-866-1920 | |
Mrs. Taylor Snodgrass, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1103 E Grace St, Rensselaer, IN 47978 Phone: 219-866-4135 Fax: 219-866-0803 | |
Sharon A Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 W Washington St, Rensselaer, IN 47978 Phone: 219-866-4135 Fax: 219-866-0803 | |
Patricia Louise Benedict, MSN,FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 716 S College Ave, Rensselaer, IN 47978 Phone: 219-866-0485 Fax: 219-866-0837 | |
Wanda Gay Gifford, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 W Drexel Pkwy, Rensselaer, IN 47978 Phone: 219-866-4300 Fax: 219-866-7591 | |
Mrs. Reba Jean Mahaffey, RN MS FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 123 S Mckinley Ave, Rensselaer, IN 47978 Phone: 219-866-7222 Fax: 219-866-7001 | |
Morganne Atteberry, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 123 S Mckinley Ave, Rensselaer, IN 47978 Phone: 219-866-1890 Fax: 219-866-1871 |