Michelle Tholen, PMHNP-BC | |
4429 S River Blvd Ste D, Independence, MO 64055-4659 | |
(888) 410-5230 | |
(573) 271-5108 |
Full Name | Michelle Tholen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 4429 S River Blvd Ste D, Independence, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184322695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2023006956 (Missouri) | Primary |
Entity Name | Success Health System Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508310293 PECOS PAC ID: 2961787809 Enrollment ID: O20170316000937 |
Mailing Address | Practice Location Address |
---|---|
Michelle Tholen, PMHNP-BC Po Box 716, Columbia, MO 65205-0716 Ph: () - | Michelle Tholen, PMHNP-BC 4429 S River Blvd Ste D, Independence, MO 64055-4659 Ph: (888) 410-5230 |
Jacqueline K Hopkins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 N Osage St, Suite 200, Independence, MO 64050 Phone: 816-356-2000 Fax: 816-737-1796 | |
Ms. Valerie Mae Monroy, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4731 S Cochise Dr, Suite 100, Independence, MO 64055 Phone: 816-373-1142 Fax: 816-373-9222 | |
Kara Linn Perdue, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19045 E Valley View Pkwy Ste G, Independence, MO 64055 Phone: 816-398-7171 | |
Tara M Lea, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19550 E 39th St S Ste 200, Independence, MO 64057 Phone: 816-833-0466 Fax: 816-833-4155 | |
Mrs. Jill Elizabeth Wiese, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19600 E 39th St S, Attn: Nicu, Independence, MO 64057 Phone: 816-698-7340 | |
Katelynn R Crawford, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17844 E 23rd St S, Independence, MO 64057 Phone: 816-254-3652 | |
Paige Nicole Huffman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14310 E 42nd St S Ste 600, Independence, MO 64055 Phone: 816-333-9200 |