Kendall Ilia-joan Weber, FNP-C | |
1214 E National Ave Ste 100, Brazil, IN 47834-2700 | |
(812) 442-2820 | |
Not Available |
Full Name | Kendall Ilia-joan Weber |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1214 E National Ave Ste 100, Brazil, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417473794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 71014856A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71014856A (Indiana) | Primary |
Entity Name | St Vincent Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
Mailing Address | Practice Location Address |
---|---|
Kendall Ilia-joan Weber, FNP-C 1214 E National Ave Ste 100, Brazil, IN 47834-2700 Ph: () - | Kendall Ilia-joan Weber, FNP-C 1214 E National Ave Ste 100, Brazil, IN 47834-2700 Ph: (812) 442-2820 |
Mrs. Lori Jean Wiley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1214 E National Ave Ste 90a, Brazil, IN 47834 Phone: 812-442-2900 | |
Heather Renee Gibbens, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 E Jackson St, Brazil, IN 47834 Phone: 812-264-2765 | |
Ms. Haley Newton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1214 E National Ave Ste 100, Brazil, IN 47834 Phone: 812-442-2820 | |
Shauna Elizabeth Poe-ames, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1214 E National Ave Ste 90a, Brazil, IN 47834 Phone: 812-442-2900 | |
Mrs. Tanya Ruth Reynolds, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 N Manatee St, Brazil, IN 47834 Phone: 812-531-1127 | |
Ms. Penelope Fay Callaway, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1214 E National Ave Ste 100, Brazil, IN 47834 Phone: 812-442-2100 |