Michele L Tanz, FNP | |
1723 Broadway St, Suite 220, Cape Girardeau, MO 63701-4566 | |
(573) 331-7910 | |
(573) 331-7919 |
Full Name | Michele L Tanz |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1723 Broadway St, Cape Girardeau, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013222983 | NPI | - | NPPES |
2010028011 | Other | MO | MO LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2010028011 (Missouri) | Primary |
Entity Name | Missouri Delta Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
Entity Name | Doctor Freeman |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265926562 PECOS PAC ID: 8022366608 Enrollment ID: O20180731000482 |
Mailing Address | Practice Location Address |
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Michele L Tanz, FNP 1723 Broadway St, Suite 220, Cape Girardeau, MO 63701-4566 Ph: (573) 331-7910 | Michele L Tanz, FNP 1723 Broadway St, Suite 220, Cape Girardeau, MO 63701-4566 Ph: (573) 331-7910 |
Kelli A Crowe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1702 N Kingshighway St, Cape Girardeau, MO 63701 Phone: 573-339-2000 Fax: 573-339-1876 | |
Sarah Ross, A.P.R.N., B.C. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-9498 Fax: 573-332-0370 | |
Lisa M Zoellner-gullette, APRN BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-331-5544 Fax: 573-331-5545 | |
Mrs. Christina Cossou, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 Phone: 573-335-7546 Fax: 573-335-7550 | |
Ms. Amy Lee Featherston, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1702 N Kingshighway St, Cape Girardeau, MO 63701 Phone: 573-339-2000 Fax: 573-339-1876 | |
Mrs. Tara Ann Elizabeth Ribbing, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-3000 |