Lauren Gutierrez, | |
510 E Baltimore Pike, Media, PA 19063-3836 | |
(610) 566-3218 | |
Not Available |
Full Name | Lauren Gutierrez |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 510 E Baltimore Pike, Media, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285030627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP014485 (Pennsylvania) | Primary |
Entity Name | Rediclinic Of Pa, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649672874 PECOS PAC ID: 1456653237 Enrollment ID: O20160111002414 |
Mailing Address | Practice Location Address |
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Lauren Gutierrez, 510 E Baltimore Pike, Media, PA 19063-3836 Ph: () - | Lauren Gutierrez, 510 E Baltimore Pike, Media, PA 19063-3836 Ph: (610) 566-3218 |
Janeen A Franz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1088 W Baltimore Pike, Suite 2500, Media, PA 19063 Phone: 610-565-4107 Fax: 610-565-8349 | |
Ms. Phuong Ngo, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 W Baltimore Pike, Media, PA 19063 Phone: 484-227-3218 | |
Tanya Ann Kozuch, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 E State St Ste 205, Media, PA 19063 Phone: 610-521-2053 | |
Kaela Mclaughlin, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 W Baltimore Pike, Media, PA 19063 Phone: 484-227-9400 | |
Rebecca Lynn Mckenna, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 W Baltimore Pike, Media, PA 19063 Phone: 484-227-9400 | |
Maureen Lubas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 W Baltimore Pike, Suite 3101, Media, PA 19063 Phone: 610-891-9277 | |
Carol L Tanzio, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 176 S New Middletown Rd, Mob, 1st Floor, Media, PA 19063 Phone: 610-627-3690 Fax: 610-627-3684 |