Ketti Lynn Eddy, APRN-CNP | |
105 E Industrial Rd Ste B, Guthrie, OK 73044-6971 | |
(405) 919-7570 | |
(405) 256-9748 |
Full Name | Ketti Lynn Eddy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 105 E Industrial Rd Ste B, Guthrie, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194723239 | NPI | - | NPPES |
200057880A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R0074528 (Oklahoma) | Primary |
Entity Name | Fusion Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770936452 PECOS PAC ID: 0042506701 Enrollment ID: O20160906001343 |
Mailing Address | Practice Location Address |
---|---|
Ketti Lynn Eddy, APRN-CNP 1603 Hunters Path, Edmond, OK 73034-1627 Ph: (405) 919-7570 | Ketti Lynn Eddy, APRN-CNP 105 E Industrial Rd Ste B, Guthrie, OK 73044-6971 Ph: (405) 919-7570 |
Candace Herrin, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 S Division St, Guthrie, OK 73044 Phone: 405-293-4504 | |
Kaitlyn Bishop, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8935 Tall Oaks Dr, Guthrie, OK 73044 Phone: 918-497-6753 | |
Ms. Cheryl A. Ross, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 S Academy Rd, Guthrie, OK 73044 Phone: 405-282-9449 Fax: 405-828-9403 | |
Marilyn Austin-clark, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 624 E Noble Ave, Guthrie, OK 73044 Phone: 405-471-4914 | |
Meagan Whisenant, RN, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2919 S Division St, Guthrie, OK 73044 Phone: 405-282-8383 Fax: 405-282-6790 | |
Mr. Michael James Turner, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 S Academy Rd, Guthrie, OK 73044 Phone: 405-282-4600 |