Mary Elizabeth Waterhouse, AGNP-BC | |
210 Jackson Street, Mountain View, MO 65548 | |
(573) 680-4905 | |
Not Available |
Full Name | Mary Elizabeth Waterhouse |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 210 Jackson Street, Mountain View, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306294665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 2015040090 (Missouri) | Primary |
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210212002068 |
Mailing Address | Practice Location Address |
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Mary Elizabeth Waterhouse, AGNP-BC Po Box 548, Mountain View, MO 65548 Ph: (573) 680-4905 | Mary Elizabeth Waterhouse, AGNP-BC 210 Jackson Street, Mountain View, MO 65548 Ph: (573) 680-4905 |
Crystal Dawn Phipps, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Us Highway 60, Mountain View, MO 65548 Phone: 417-934-2251 | |
Michael Dave Mcvicker Sr., FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 N Elm St, Mountain View, MO 65548 Phone: 417-934-2273 Fax: 417-934-2232 | |
Dawn Marie Henry, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3925 County Road 3190, Mountain View, MO 65548 Phone: 417-247-1636 | |
Beverly J. Denton, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 N Elm St, Mountain View, MO 65548 Phone: 417-934-2273 Fax: 417-934-2332 | |
Laura Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Us Highway 60, Mountain View, MO 65548 Phone: 417-934-2251 | |
Patricia Alexa Summerford, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 East Highway 60, Mountain View, MO 65548 Phone: 417-934-2251 Fax: 417-934-2871 |