Kevin M Prince, FNP | |
538 Broadway, Winnie, TX 77665-7600 | |
(409) 296-6000 | |
(409) 296-6375 |
Full Name | Kevin M Prince |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 538 Broadway, Winnie, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558396465 | NPI | - | NPPES |
8N7097 | Other | TX | BCBS |
168116503 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP113090 (Texas) | Primary |
Entity Name | Winnie Community Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295781227 PECOS PAC ID: 3375440894 Enrollment ID: O20031218000349 |
Mailing Address | Practice Location Address |
---|---|
Kevin M Prince, FNP 1108 Gulf Fwy S, Ste 230, League City, TX 77573-5100 Ph: (281) 557-4404 | Kevin M Prince, FNP 538 Broadway, Winnie, TX 77665-7600 Ph: (409) 296-6000 |
Sharon L. Atwell, APN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-6000 Fax: 409-296-6326 | |
Joshua Alan Olmstead, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-6000 | |
Sara E Hollier, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-9505 Fax: 409-296-6381 | |
Daniel Sean Degarmo, RN, ENP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-209-6000 | |
Miss Vannessa Veronique Evans, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 681 W Buccaneer Dr, Winnie, TX 77665 Phone: 409-201-2225 |