| Kaylea Bultmann, FNP | |
|
2305 S Highway 65, Marshall, MO 65340-3702 | |
| (660) 886-7431 | |
| Not Available |
| Full Name | Kaylea Bultmann |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2305 S Highway 65, Marshall, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811761760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2023045074 (Missouri) | Primary |
| Entity Name | John Fitzgibbon Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346966454 PECOS PAC ID: 2567351570 Enrollment ID: O20230919003698 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaylea Bultmann, FNP 2303 S Highway 65, Marshall, MO 65340-3734 Ph: (660) 886-7431 | Kaylea Bultmann, FNP 2305 S Highway 65, Marshall, MO 65340-3702 Ph: (660) 886-7431 |
Angela L Lybarger, APMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2305 S Highway 65 Bldg A, Marshall, MO 65340 Phone: 660-886-7800 Fax: 660-831-3306 | |
Mrs. Christina Ann Williams, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2305 S Highway 65 Bldg A, Marshall, MO 65340 Phone: 660-886-7800 Fax: 660-831-3328 | |
Elizabeth Marie Sandidge, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2305 S Highway 65, Marshall, MO 65340 Phone: 660-886-7431 Fax: 660-886-9001 | |
Amber Renee Drumheller, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2305 S Highway 65 Bldg A, Marshall, MO 65340 Phone: 660-886-7800 Fax: 660-831-3306 | |
Tracy Jean Guthrie, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 S Highway 65 Ste A, Marshall, MO 65340 Phone: 660-886-3364 | |
Mr. Justin Scot Cortez, RN, MSN, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 S Highway 65 Ste A, Marshall, MO 65340 Phone: 660-886-3364 Fax: 660-886-6044 | |
Mrs. Diane Marie Weinreich, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 S Highway 65 Ste A, Marshall, MO 65340 Phone: 660-831-1175 Fax: 660-831-3364 |