Katelyn Amanda Stults, NP | |
3742 Katella Ave Ste 302, Los Alamitos, CA 90720-3172 | |
(562) 702-3825 | |
(323) 302-4581 |
Full Name | Katelyn Amanda Stults |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3742 Katella Ave Ste 302, Los Alamitos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144827072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95027104 (California) | Primary |
Entity Name | Mobile Skin Solutions,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053914606 PECOS PAC ID: 0840602108 Enrollment ID: O20201210002712 |
Mailing Address | Practice Location Address |
---|---|
Katelyn Amanda Stults, NP 18316 Taylor Ct, Torrance, CA 90504-5450 Ph: (610) 513-8182 | Katelyn Amanda Stults, NP 3742 Katella Ave Ste 302, Los Alamitos, CA 90720-3172 Ph: (562) 702-3825 |
Mrs. Danielle Marie Villatoro, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10861 Cherry St Ste 105, Los Alamitos, CA 90720 Phone: 562-595-1961 Fax: 562-595-5351 | |
Xuan Hoang Linda Thi Tran, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10921 Cherry St Ste 200, Los Alamitos, CA 90720 Phone: 562-594-5996 | |
Ruby Elaine Calalo, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3851 Katella Ave Ste 315, Los Alamitos, CA 90720 Phone: 562-626-8016 | |
Klariz Lazo, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3851 Katella Ave Ste 375, Los Alamitos, CA 90720 Phone: 562-493-6568 | |
Carol Ann Crawford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3460 Katella Ave, Los Alamitos, CA 90720 Phone: 562-594-6599 Fax: 562-598-6220 | |
Ryan O'donell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4132 Katella Ave Ste 200, Los Alamitos, CA 90720 Phone: 562-312-1777 | |
Sean Lee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4288 Katella Ave, Los Alamitos, CA 90720 Phone: 562-296-8514 |