Julie Anne Keen, NP | |
17360 Brookhurst St, Attn: Mcmf Credentialing Department, Fountain Valley, CA 92708-3720 | |
(999) 999-9999 | |
Not Available |
Full Name | Julie Anne Keen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 17360 Brookhurst St, Fountain Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376830117 | NPI | - | NPPES |
9456 | Other | CA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 9456 (California) | Secondary |
363L00000X | Nurse Practitioner | 9456 (California) | Primary |
Entity Name | Memorialcare Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
Mailing Address | Practice Location Address |
---|---|
Julie Anne Keen, NP 17360 Brookhurst St, Attn: Credentialing Dept., Fountain Valley, CA 92708-3720 Ph: () - | Julie Anne Keen, NP 17360 Brookhurst St, Attn: Mcmf Credentialing Department, Fountain Valley, CA 92708-3720 Ph: (999) 999-9999 |
Leah Haddad, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11180 Warner Ave Ste 351, Fountain Valley, CA 92708 Phone: 714-698-0300 | |
Kerry E Wood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St Ste 5100, Fountain Valley, CA 92708 Phone: 714-546-2238 Fax: 714-434-8145 | |
Mrs. Tran Chau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9920 Talbert Ave, Fountain Valley, CA 92708 Phone: 714-378-7428 Fax: 714-378-7474 | |
Dr. Timothy Franklin Horttor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18111 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-378-7000 | |
Kelsey Vy Ngole, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16040 Harbor Blvd Ste G, Fountain Valley, CA 92708 Phone: 714-531-7930 | |
Joee Quyen Truong, R.N Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 714-966-7200 | |
Karen Truong-fahman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17390 Brookhurst St Ste 350, Fountain Valley, CA 92708 Phone: 714-463-5189 |