Joanna Elzbieta Andracka-kudla, FNP-BC | |
8536 Palmetto Commerce Pkwy, Ladson, SC 29456-6700 | |
(843) 203-2255 | |
Not Available |
Full Name | Joanna Elzbieta Andracka-kudla |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 8536 Palmetto Commerce Pkwy, Ladson, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982392692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 27053 (Oklahoma) | Primary |
Entity Name | Palmetto Primary Care Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
Mailing Address | Practice Location Address |
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Joanna Elzbieta Andracka-kudla, FNP-BC Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 572-7727 | Joanna Elzbieta Andracka-kudla, FNP-BC 8536 Palmetto Commerce Pkwy, Ladson, SC 29456-6700 Ph: (843) 203-2255 |
Haley Mcclure Jones, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Treeland Dr Ste B, Ladson, SC 29456 Phone: 843-277-2240 | |
Wilson Mccall Fitchett, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3495 Iron Horse Rd, Ladson, SC 29456 Phone: 843-793-5970 Fax: 843-419-5391 | |
Chiquita Anderson, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9698 Patriot Blvd Apt 928, Ladson, SC 29456 Phone: 843-518-1376 | |
Shelli Gibbs, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 267 Treeland Dr, Suite C, Ladson, SC 29456 Phone: 843-277-2240 | |
Ashley Nicole Simpson, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3445 Ingleside Blvd, Ladson, SC 29456 Phone: 843-797-4200 | |
Jeremy M Lloyd, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4278 Ladson Rd, Ladson, SC 29456 Phone: 843-203-2240 Fax: 843-203-2241 | |
Anna Wayne Streisel, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9565 Highway 78 Bldg 100, Ladson, SC 29456 Phone: 843-476-4702 Fax: 843-476-4290 |