Kelly Marie Granger, | |
1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | |
(561) 655-5511 | |
Not Available |
Full Name | Kelly Marie Granger |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1309 N Flagler Dr, West Palm Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265012504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 144409 (Florida) | Primary |
Entity Name | Sheridan Healthcorp Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Mailing Address | Practice Location Address |
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Kelly Marie Granger, 953 Laurel Rd, North Palm Beach, FL 33408-4020 Ph: (561) 315-6644 | Kelly Marie Granger, 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 Ph: (561) 655-5511 |
Juan Antonio Medina, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 N Dixie Hwy, Ste 103, West Palm Beach, FL 33401 Phone: 561-833-8893 Fax: 561-833-8939 | |
Ms. Kathleen Anne Thibeault, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 45th St, West Palm Beach, FL 33407 Phone: 561-840-3444 Fax: 561-840-3490 | |
Christopher Steele, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 45th St, West Palm Beach, FL 33407 Phone: 877-844-9916 Fax: 866-665-2702 | |
Jessica Bourgeois, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 45th St, West Palm Beach, FL 33407 Phone: 561-884-6300 | |
April Elizabeth Mckinney, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 901 45th Street, West Palm Beach, FL 33407 Phone: 561-844-6300 | |
Angela Wasielewski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 45th St, West Palm Beach, FL 33407 Phone: 561-884-6300 | |
Janet E. Schlosser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 45th St, West Palm Beach, FL 33407 Phone: 561-882-2750 |