Lilly Katherine Dickens, DNP | |
4663 Scotts Valley Dr, Scotts Valley, CA 95066-4202 | |
(831) 458-6330 | |
Not Available |
Full Name | Lilly Katherine Dickens |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 4663 Scotts Valley Dr, Scotts 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 |
---|---|---|---|
1184269516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | 95204741 (California) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 95024318 (California) | Primary |
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
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Lilly Katherine Dickens, DNP 4663 Scotts Valley Dr, Scotts Valley, CA 95066-4202 Ph: () - | Lilly Katherine Dickens, DNP 4663 Scotts Valley Dr, Scotts Valley, CA 95066-4202 Ph: (831) 458-6330 |
Alisa Jewel Hawes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 245 Mount Hermon Rd Ste L, Scotts Valley, CA 95066 Phone: 831-430-7203 Fax: 831-430-7204 | |
Teresa Mueting, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4663 Scotts Valley Dr, Scotts Valley, CA 95066 Phone: 831-458-6335 | |
Jeannette Bingham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4663 Scotts Valley Dr, Scotts Valley, CA 95066 Phone: 831-458-6330 | |
Ashzra Pedersen, DNP, RN, FNP-C, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4663 Scotts Valley Dr, Scotts Valley, CA 95066 Phone: 831-458-6300 | |
Christine Noelle Lindholm, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4663 Scotts Valley Dr, Scotts Valley, CA 95066 Phone: 831-458-6330 |