Marissa Catherine Reardon, FNP-C | |
101 Saddleclub Way, Guyton, GA 31312-7132 | |
(781) 588-2813 | |
Not Available |
Full Name | Marissa Catherine Reardon |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 101 Saddleclub Way, Guyton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346965621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F09220883 (Georgia) | Primary |
Entity Name | Procare Wellness Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861129587 PECOS PAC ID: 0547644841 Enrollment ID: O20220906002804 |
Mailing Address | Practice Location Address |
---|---|
Marissa Catherine Reardon, FNP-C 101 Saddleclub Way, Guyton, GA 31312-7132 Ph: (781) 588-2813 | Marissa Catherine Reardon, FNP-C 101 Saddleclub Way, Guyton, GA 31312-7132 Ph: (781) 588-2813 |
Laura Moreland Hodges, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 732 Hodgeville Rd, Guyton, GA 31312 Phone: 912-313-6208 | |
Korema Roshawn Brantley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 Old School Cir, Guyton, GA 31312 Phone: 912-572-8222 | |
Tyjashanikqa Baker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 Blue Grass Cir, Guyton, GA 31312 Phone: 912-547-2315 | |
Kristal Gill, RN BSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Myrtlewood Dr, Guyton, GA 31312 Phone: 912-666-9689 | |
Lauren Elizabeth Brooks, MSN, NNP-BC, RNC-NIC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3158 Midland Rd, Guyton, GA 31312 Phone: 912-320-7676 | |
Kristie Moore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Hidden Creek Dr, Guyton, GA 31312 Phone: 912-772-8670 Fax: 912-754-1037 |