Mariah Mae Renaud, APRN | |
1600 Sw Archer Rd, Gainesville, FL 32610-5330 | |
(352) 273-8610 | |
Not Available |
Full Name | Mariah Mae Renaud |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1600 Sw Archer Rd, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720785637 | NPI | - | NPPES |
121476800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN11024550 (Florida) | Primary |
363L00000X | Nurse Practitioner | 11024550 (Florida) | Secondary |
Entity Name | Florida Clinical Practice Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Entity Name | One Stop Medical And Urgent Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417439191 PECOS PAC ID: 2668710476 Enrollment ID: O20190220001329 |
Mailing Address | Practice Location Address |
---|---|
Mariah Mae Renaud, APRN 7221 Nw 161st Pl, Trenton, FL 32693-9705 Ph: (352) 221-5050 | Mariah Mae Renaud, APRN 1600 Sw Archer Rd, Gainesville, FL 32610-5330 Ph: (352) 273-8610 |
Susan Lynette Fort, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2528 Nw 32nd St, Gainesville, FL 32605 Phone: 352-224-8161 Fax: 321-320-8780 | |
Mrs. Brandace Michele Kenworthy, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Miss Sadaf Nazar Malik, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 904-265-0111 | |
Mrs. Sara Renee West, FNP-C, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9000 Fax: 352-392-8413 | |
Sandrie Rose Dieujuste, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0045 | |
Cammie Foresha, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1809 Nw 39th Ave, Gainesville, FL 32605 Phone: 225-588-6225 | |
Ms. Stephani C Lowery, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0761 |