Julie Fadness, FNP | |
101 Old Mccloud Rd, Mount Shasta, CA 96067-2796 | |
(530) 926-5100 | |
Not Available |
Full Name | Julie Fadness |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 101 Old Mccloud Rd, Mount Shasta, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740625516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 23146 (California) | Primary |
Entity Name | Mccloud Healthcare Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164428488 PECOS PAC ID: 3779494919 Enrollment ID: O20031118001091 |
Entity Name | Mountain Valleys Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356438261 PECOS PAC ID: 4284685538 Enrollment ID: O20050429000424 |
Mailing Address | Practice Location Address |
---|---|
Julie Fadness, FNP 6716 Shasta Cv, Weed, CA 96094-9776 Ph: () - | Julie Fadness, FNP 101 Old Mccloud Rd, Mount Shasta, CA 96067-2796 Ph: (530) 926-5100 |
Mrs. Barbra Lewis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Old Mccloud Rd, Mount Shasta, CA 96067 Phone: 530-926-5100 Fax: 530-926-1859 | |
Mrs. Rebecca S Boehme, RN FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Pine St, Mount Shasta, CA 96067 Phone: 530-926-4556 Fax: 530-926-4532 | |
Mrs. Lynn Linebarger, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Old Mccloud Rd, Mount Shasta, CA 96067 Phone: 530-926-5100 Fax: 530-926-1859 |