Jennifer Mahlberg-grant, APRN | |
951 E Plaza Dr, Ste 110, Eagle, ID 83616-6567 | |
(775) 738-5850 | |
(775) 738-5856 |
Full Name | Jennifer Mahlberg-grant |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 951 E Plaza Dr, Eagle, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982126686 | NPI | - | NPPES |
APRN002287 | Other | NV | APRN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 53418 (Idaho) | Primary |
363L00000X | Nurse Practitioner | APRN002287 (Nevada) | Secondary |
Entity Name | Treasure Valley Metabolic Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285271635 PECOS PAC ID: 6305276064 Enrollment ID: O20200501002457 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Mahlberg-grant, APRN 3325 Research Way, Carson City, NV 89706-7913 Ph: (775) 888-6610 | Jennifer Mahlberg-grant, APRN 951 E Plaza Dr, Ste 110, Eagle, ID 83616-6567 Ph: (775) 738-5850 |
Evita Kvista, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 S Linder Rd Apt B301, Eagle, ID 83616 Phone: 208-412-9622 | |
Ms. Beth Elaine Landis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 E Rivers End Ct, Eagle, ID 83616 Phone: 208-939-6030 | |
Bethany Joy Mello, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 951 E Plaza Dr Ste 170, Eagle, ID 83616 Phone: 208-939-3505 | |
Christopher Alan Anthony Nicholas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3101 E State St, Eagle, ID 83616 Phone: 208-473-3100 | |
Jessica Watson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 S Linder Rd Apt O107, Eagle, ID 83616 Phone: 208-519-8520 | |
Claudia Parcells, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 951 E Plaza Dr, Suite 170, Eagle, ID 83616 Phone: 208-939-3505 Fax: 208-939-3507 | |
Allison Roper Serr, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1079 S Ancona Ave Ste 100, Eagle, ID 83616 Phone: 208-853-2273 |