Mr Ardelius Saye Boan, NP-C | |
300 Pasteur Dr, Stanford, CA 94305-2200 | |
(650) 723-4000 | |
Not Available |
Full Name | Mr Ardelius Saye Boan |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 300 Pasteur Dr, Stanford, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790147270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | NP95009672 (California) | Secondary |
363L00000X | Nurse Practitioner | NP95009672 (California) | Primary |
Entity Name | Grover Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104847383 PECOS PAC ID: 7911988829 Enrollment ID: O20040526001465 |
Entity Name | Metrolina Medical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447790662 PECOS PAC ID: 8022389907 Enrollment ID: O20170810003438 |
Mailing Address | Practice Location Address |
---|---|
Mr Ardelius Saye Boan, NP-C 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 | Mr Ardelius Saye Boan, NP-C 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 |
Angie Dee Murkins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Gloria Le Choi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Mrs. Joi Mei Soucy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Olinda Su Mar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Laura Lynne Asaro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 Blake Wilbur Dr, Clinic D, Stanford, CA 94305 Phone: 650-723-6197 | |
Nancy S. Brook, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-498-7103 | |
Mr. Richard Quitevis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-724-2906 |