Kelly P Harte, FNP-BC | |
21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142-5995 | |
(480) 987-5525 | |
(480) 987-5115 |
Full Name | Kelly P Harte |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 21321 E Ocotillo Rd Ste 133, Queen Creek, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437536158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.012732 (Illinois) | Primary |
Entity Name | Premier Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467534487 PECOS PAC ID: 9335132604 Enrollment ID: O20040405000649 |
Entity Name | Old Pueblo Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306890793 PECOS PAC ID: 4981607512 Enrollment ID: O20060821000095 |
Entity Name | Prescott Healthcare Solutions Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821454505 PECOS PAC ID: 4385940295 Enrollment ID: O20160302001795 |
Mailing Address | Practice Location Address |
---|---|
Kelly P Harte, FNP-BC 21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142-5995 Ph: (480) 987-5525 | Kelly P Harte, FNP-BC 21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142-5995 Ph: (480) 987-5525 |
Jena Patrice Boynton, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21321 E Ocotillo Rd, Suite 127, Queen Creek, AZ 85242 Phone: 480-888-7271 Fax: 480-888-7904 | |
Tanya Nicole Turner, F.N.P-C. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20715 E Ocotillo Rd, Ste. 102, Queen Creek, AZ 85142 Phone: 480-987-0987 Fax: 480-987-0940 | |
Daniella Rochelle Cleveland, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37000 N Gantzel Rd, Queen Creek, AZ 85140 Phone: 480-394-4000 | |
Jessica Garcia, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142 Phone: 480-987-5525 Fax: 480-987-5115 | |
Amber Lynee Allen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22707 S Ellsworth Rd Ste H101, Queen Creek, AZ 85142 Phone: 480-792-9200 | |
Yva Jean-marc, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22707 S Ellsworth Rd Ste H101, Queen Creek, AZ 85142 Phone: 480-792-9200 | |
Erica Monique Sipe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142 Phone: 480-987-5525 Fax: 480-987-5115 |