| Loretta Marie Alimam, FNP | |
|
905 E Washington St, Petaluma, CA 94952-3389 | |
| (707) 763-9891 | |
| Not Available |
| Full Name | Loretta Marie Alimam |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 905 E Washington St, Petaluma, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336856608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP95022179 (California) | Primary |
| 163W00000X | Registered Nurse | 95037770 (California) | Secondary |
| Entity Name | Providence Medical Foundation |
|---|---|
| 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 |
|---|---|
| Loretta Marie Alimam, FNP 905 E Washington St, Petaluma, CA 94952-3389 Ph: () - | Loretta Marie Alimam, FNP 905 E Washington St, Petaluma, CA 94952-3389 Ph: (707) 763-9891 |
Ms. Barbara L. Schoen, FNP/PA-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 599 Tomales Rd., Petaluma, CA 94952 Phone: 707-765-7205 | |
Jessica Flinders, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 104 Lynch Creek Way, Suite 10, Petaluma, CA 94954 Phone: 707-782-9123 Fax: 707-782-9622 | |
Sherin Ann Chakkalakel, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Lynch Creek Way, Petaluma, CA 94954 Phone: 707-763-0802 | |
Dahae Hwang, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 | |
Gisselle E Suazo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7617 Fax: 707-559-7620 | |
Andrew K Chinnock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-776-8066 | |
Stephanie M Treece, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7620 |