Mary Ellen Shanks, APRN,BC,FNP | |
504 N Sturgeon St, Montgomery City, MO 63361-1829 | |
(573) 564-2990 | |
(573) 564-2963 |
Full Name | Mary Ellen Shanks |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 504 N Sturgeon St, Montgomery City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710293972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2010027851 (Missouri) | Primary |
Entity Name | Hermann Area Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083749188 PECOS PAC ID: 5496669962 Enrollment ID: O20031118000740 |
Mailing Address | Practice Location Address |
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Mary Ellen Shanks, APRN,BC,FNP Po Box 19, Montgomery City, MO 63361-0019 Ph: (573) 564-2990 | Mary Ellen Shanks, APRN,BC,FNP 504 N Sturgeon St, Montgomery City, MO 63361-1829 Ph: (573) 564-2990 |
Kristina Boylan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 Pickering St, Montgomery City, MO 63361 Phone: 573-564-2101 Fax: 573-564-2130 | |
Londa Y Swoboda, FNP, BSN, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 E 1st St, Montgomery City, MO 63361 Phone: 573-564-3214 Fax: 573-564-3216 | |
Mrs. Diana L Gibbs, RNC WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Salisbury St, Montgomery City, MO 63361 Phone: 573-564-2495 Fax: 573-564-5059 |