Michelle Victoria Simonds, | |
1000 Blythe Blvd, Charlotte, NC 28203-5812 | |
(704) 355-2000 | |
Not Available |
Full Name | Michelle Victoria Simonds |
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Gender | Female |
Speciality | Registered Nurse |
Location | 1000 Blythe Blvd, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154916799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 291126 (North Carolina) | Primary |
Entity Name | Lake Norman Medical, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699300822 PECOS PAC ID: 9335570332 Enrollment ID: O20200507000031 |
Mailing Address | Practice Location Address |
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Michelle Victoria Simonds, 17403 Tuscany Ln, Cornelius, NC 28031-7996 Ph: (607) 222-1593 | Michelle Victoria Simonds, 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 355-2000 |
Lori J Hyler, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 502 Brackenbury Ln, Charlotte, NC 28270 Phone: 980-288-2273 | |
Mrs. Rubye Burks Wallace, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 249 Billingsley Rd, Charlotte, NC 28211 Phone: 704-336-5492 Fax: 704-331-0859 | |
Mrs. Jennifer Parker Jackson, PMHNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 5700 Executive Center Dr Ste 110, Charlotte, NC 28212 Phone: 704-219-9166 | |
Mrs. Linda Kelley Huddleston, IBCLC, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8805 Castlebay Dr, Charlotte, NC 28277 Phone: 704-733-7341 | |
Jaquaya Renae Harvey, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9916 Season Grove Ln Apt 207, Charlotte, NC 28216 Phone: 440-381-9313 | |
Kelly Anne Meyer, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Elizabeth Edden, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Road., Suite 210, Charlotte, NC 28207 Phone: 704-370-0223 Fax: 704-370-0799 |