Jenniffer Blair, FNP-C | |
297 Lake Havasu Ave S, Lake Havasu City, AZ 86403-6526 | |
(928) 453-1970 | |
Not Available |
Full Name | Jenniffer Blair |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 297 Lake Havasu Ave S, Lake Havasu City, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265804124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 254706 (Arizona) | Primary |
Entity Name | Lakeside Heart And Vascular Center Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801194352 PECOS PAC ID: 4587832779 Enrollment ID: O20110713000658 |
Mailing Address | Practice Location Address |
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Jenniffer Blair, FNP-C 2082 Mesquite Ave, Lake Havasu City, AZ 86403-6710 Ph: (928) 453-2727 | Jenniffer Blair, FNP-C 297 Lake Havasu Ave S, Lake Havasu City, AZ 86403-6526 Ph: (928) 453-1970 |
Nikola Marie Neill, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1760 Mcculloch Blvd N, Ste 100, Lake Havasu City, AZ 86403 Phone: 928-854-5368 Fax: 928-854-4462 | |
Ms. Stephanie Louise Herrick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1987 Mcculloch Blvd N, Ste 101, Lake Havasu City, AZ 86403 Phone: 928-453-6963 Fax: 928-453-7011 | |
Anthony James Cecchini, MSN, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 285 Lake Havasu Ave S Ste 100, Lake Havasu City, AZ 86403 Phone: 928-208-4598 Fax: 888-571-6436 | |
June Staley, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1845 Mcculloch Blvd N, Suite B-1, Lake Havasu City, AZ 86403 Phone: 928-453-2661 Fax: 928-453-2672 | |
Stephanie R Brison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-854-0060 | |
Allison Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Darion Alexxis Roush, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 |