Katerina Lynn Devore, | |
200 N 3rd St, Dardanelle, AR 72834-3802 | |
(479) 229-6191 | |
(479) 229-6194 |
Full Name | Katerina Lynn Devore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 200 N 3rd St, Dardanelle, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275040511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A005451 (Arkansas) | Primary |
Entity Name | Conway Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841200417 PECOS PAC ID: 3173428414 Enrollment ID: O20040605000199 |
Entity Name | River Valley Medical Center Family Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245437490 PECOS PAC ID: 1759464035 Enrollment ID: O20080208000579 |
Entity Name | Dardanelle Regional Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1023109097 PECOS PAC ID: 0345576500 Enrollment ID: O20220523001905 |
Entity Name | Dardanelle Regional Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730737131 PECOS PAC ID: 0345576500 Enrollment ID: O20230711000936 |
Mailing Address | Practice Location Address |
---|---|
Katerina Lynn Devore, 200 N 3rd St, Dardanelle, AR 72834-3802 Ph: (479) 229-6191 | Katerina Lynn Devore, 200 N 3rd St, Dardanelle, AR 72834-3802 Ph: (479) 229-6191 |
Ashley Dawn Shrives, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1176 State Highway 22 W, Suite B, Dardanelle, AR 72834 Phone: 870-605-0014 Fax: 870-994-7488 | |
Keely Hatfield, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1714 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-477-3084 Fax: 479-477-3085 | |
Joe Hebert, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 N 3rd St, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194 | |
Maranda J Moore, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10812 Rob Hill Rd, Dardanelle, AR 72834 Phone: 479-453-6216 | |
Kayla Manatt, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1652 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-229-8000 Fax: 479-477-3925 | |
Gretchen Keyse, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 N 4th St, Dardanelle, AR 72834 Phone: 479-229-2827 Fax: 479-229-5749 |