Kmisha Brand, RN, MSN, FNP-BC | |
133 Spinder Dr Ste 4015, East Peoria, IL 61611 | |
(309) 308-5100 | |
Not Available |
Full Name | Kmisha Brand |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 133 Spinder Dr Ste 4015, East Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649856717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.020594 (Illinois) | Secondary |
Entity Name | Midwest Express Care 2 Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548692890 PECOS PAC ID: 0547495467 Enrollment ID: O20131031001375 |
Mailing Address | Practice Location Address |
---|---|
Kmisha Brand, RN, MSN, FNP-BC 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Ph: (309) 308-5100 | Kmisha Brand, RN, MSN, FNP-BC 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Ph: (309) 308-5100 |
Delanie Lynn Fletcher, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Mrs. Deidra Diane Anderson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Joshua A Larson, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Phone: 309-308-5100 Fax: 309-308-5102 | |
Courtney Elizabeth Reubin, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Brittany Anne Mcgill, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Phone: 309-308-5100 Fax: 309-308-5102 | |
Mrs. Brandy J Coleman, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 | |
Kerri Jean Schafer, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100 Fax: 309-308-5102 |