Lisa Ann Edwards, PPCNP-BC | |
25647 Redwood Hwy, Cave Junction, OR 97523-9332 | |
(541) 500-8407 | |
Not Available |
Full Name | Lisa Ann Edwards |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 25647 Redwood Hwy, Cave Junction, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588151567 | NPI | - | NPPES |
500743373 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 201801351NP-PP (Oregon) | Primary |
Entity Name | Siskiyou Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427046903 PECOS PAC ID: 6305747288 Enrollment ID: O20040114000536 |
Mailing Address | Practice Location Address |
---|---|
Lisa Ann Edwards, PPCNP-BC 25647 Redwood Hwy, Cave Junction, OR 97523-9332 Ph: (541) 592-4111 | Lisa Ann Edwards, PPCNP-BC 25647 Redwood Hwy, Cave Junction, OR 97523-9332 Ph: (541) 500-8407 |
Ms. Joya H Feltzin, CNM FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 625 E River Street, Illinois Valley High School Student Health Center, Cave Junction, OR 97523 Phone: 541-592-3749 Fax: 541-592-3749 | |
Tiffany M Crane, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25647 Redwood Hwy, Cave Junction, OR 97523 Phone: 541-592-4111 Fax: 541-592-3916 | |
Amy Leigh Wills, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25647 Redwood Hwy, Cave Junction, OR 97523 Phone: 541-592-4111 Fax: 541-494-1099 | |
Mr. Michael George Pruner, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25647 Redwood Hwy, Cave Junction, OR 97523 Phone: 541-592-4111 Fax: 541-592-3916 | |
Sarah Katherine Belfakih, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 341 E Cottage Park Dr Ste 1, Cave Junction, OR 97523 Phone: 541-450-3625 | |
Mrs. Mary Lou Alonso, NP1578815783 Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25647 Redwood Hwy, Cave Junction, OR 97523 Phone: 541-592-4111 Fax: 541-592-3916 |