Mar Keshia Clarke, NP | |
12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 | |
(310) 263-5700 | |
Not Available |
Full Name | Mar Keshia Clarke |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 12618 Hawthorne Blvd, Hawthorne, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730228388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 15097 (California) | Primary |
Entity Name | Providence Medical Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910 |
Mailing Address | Practice Location Address |
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Mar Keshia Clarke, NP 21311 Madrona Ave Ste 101, Torrance, CA 90503-5970 Ph: (866) 909-3627 | Mar Keshia Clarke, NP 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 Ph: (310) 263-5700 |
Trang Thi Kim, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3643 W 133rd St, Hawthorne, CA 90250 Phone: 310-297-0194 | |
Mrs. Nadia Heidi Blanco, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11946 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-675-1136 | |
Renee Mckenzie, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11712 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-9293 Fax: 310-715-8686 | |
Ogbonna Iwuamadi Olelewe, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-9293 Fax: 310-679-4017 | |
Amanda L Stowell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4866 W 137th St, Hawthorne, CA 90250 Phone: 818-462-1195 | |
Ms. Nona Pacatang Santos, N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4477 W 118th St, Suite 200, Hawthorne, CA 90250 Phone: 310-675-4440 Fax: 310-675-5816 | |
Joseph Ngwa Tanifor, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11712 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-9293 |