Laurie Roberts, CNM | |
18077 Us Highway 18, Suite 100, Apple Valley, CA 92307-2150 | |
(760) 946-8799 | |
(760) 946-8875 |
Full Name | Laurie Roberts |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 18077 Us Highway 18, Apple Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689780629 | NPI | - | NPPES |
NMW012250 | Other | CA | MEDI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | NMW1225 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Laurie Roberts, CNM 18300 Us Highway 18, Apple Valley, CA 92307-2206 Ph: (760) 242-2311 | Laurie Roberts, CNM 18077 Us Highway 18, Suite 100, Apple Valley, CA 92307-2150 Ph: (760) 946-8799 |
Ms. Kimberly Kay Tillotson, CNM/NP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 18300 Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 Fax: 760-946-8875 | |
Stephanie Hansen, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 18056 Wika Rd Ste B, Apple Valley, CA 92307 Phone: 760-813-3699 | |
Mrs. Maryam Modirrousta, CNM, NP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 18300 Us Highway 18, Apple Valley, CA 92307 Phone: 706-242-2311 Fax: 760-946-8875 | |
Mrs. Kimberly Sue Deimling-meyer, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 18300 Us Highway 18, Apple Valley, CA 92307 Phone: 760-242-2311 Fax: 760-946-8875 | |
Dr. Matthew Larsen, DNP, CNM, WHNP-BC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307 Phone: 760-946-8169 Fax: 760-946-8875 |