Lacy Diane Westfall, APRN-CNP | |
1116 Walnut Dr, Ardmore, OK 73401-2353 | |
(580) 223-6054 | |
(580) 226-2284 |
Full Name | Lacy Diane Westfall |
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Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 1116 Walnut Dr, Ardmore, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184200669 | NPI | - | NPPES |
201064730A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 201543 (Oklahoma) | Primary |
163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | 201543 (Oklahoma) | Secondary |
Entity Name | Good Shepherd Community Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285010413 PECOS PAC ID: 4284936337 Enrollment ID: O20160106000675 |
Mailing Address | Practice Location Address |
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Lacy Diane Westfall, APRN-CNP 1116 Walnut Dr, Ardmore, OK 73401-2353 Ph: (580) 226-0543 | Lacy Diane Westfall, APRN-CNP 1116 Walnut Dr, Ardmore, OK 73401-2353 Ph: (580) 223-6054 |
Susan Barbara Bezner, A.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 731 12th Ave Nw, Suite #201, Ardmore, OK 73401 Phone: 580-224-9000 Fax: 580-224-9009 | |
Tausha Zann Shelton, ARNP-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1116 Walnut Dr, Ardmore, OK 73401 Phone: 580-226-0543 Fax: 580-226-2284 | |
Toni Headstream, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1908 12th Ave Nw Ste E, Ardmore, OK 73401 Phone: 254-485-0338 | |
Mrs. Tina Diane Gerwin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1570 Provence Rd, Ardmore, OK 73401 Phone: 580-220-4427 | |
Carrie Kaye Evans, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 908 N Rockford Rd Ste A, Ardmore, OK 73401 Phone: 580-223-0447 Fax: 580-223-2989 | |
Quashonda Anderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Monroe St Nw, Ardmore, OK 73401 Phone: 580-504-2082 Fax: 580-226-5918 | |
Angela Donnice Amparano, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2002 12th Ave Nw, Ardmore, OK 73401 Phone: 580-226-4580 |