Katelyn Minyard, FNP | |
5630 E Santa Ana Canyon Rd Ste 100, Anaheim, CA 92807-3122 | |
(714) 331-2229 | |
Not Available |
Full Name | Katelyn Minyard |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5630 E Santa Ana Canyon Rd Ste 100, Anaheim, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932841335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0000X | Registered Nurse - General Practice | 95072502 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95021471 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Katelyn Minyard, FNP 5630 E Santa Ana Canyon Rd Ste 100, Anaheim, CA 92807-3122 Ph: (714) 257-6170 | Katelyn Minyard, FNP 5630 E Santa Ana Canyon Rd Ste 100, Anaheim, CA 92807-3122 Ph: (714) 331-2229 |
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Cristian Cuevas, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5475 E La Palma Ave, Anaheim, CA 92807 Phone: 714-485-0354 | |
Mr. William George Woods, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 W La Palma Ave Ste 207, Anaheim, CA 92801 Phone: 714-772-8282 Fax: 714-772-6493 | |
Chinenye Umunnakwe, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 N Euclid St Ste 208, Anaheim, CA 92801 Phone: 310-738-7497 | |
Mariam Alhakim, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 W La Palma Ave, Anaheim, CA 92801 Phone: 714-991-3180 | |
Jovani Rioja, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806 Phone: 714-423-4168 | |
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