Mrs Amanda Dease Hargrove, CRNP | |
3186 Parliament Cir Ste 902, Montgomery, AL 36116-7271 | |
(334) 416-8298 | |
(833) 260-4473 |
Full Name | Mrs Amanda Dease Hargrove |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 3186 Parliament Cir Ste 902, Montgomery, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568895589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1-100027 (Alabama) | Primary |
Entity Name | Moonlight Diagnostics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801351291 PECOS PAC ID: 9335480730 Enrollment ID: O20190412000655 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda Dease Hargrove, CRNP 3186 Parliament Cir Ste 902, Montgomery, AL 36116-7271 Ph: (334) 416-8298 | Mrs Amanda Dease Hargrove, CRNP 3186 Parliament Cir Ste 902, Montgomery, AL 36116-7271 Ph: (334) 416-8298 |
Kathryn Nicole Logan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4371 Narrow Lane Rd Ste 205, Montgomery, AL 36116 Phone: 334-747-7780 Fax: 334-747-7790 | |
Mrs. Katelyn Perry Barnes, NP-C, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 488 Saint Lukes Dr, Montgomery, AL 36117 Phone: 334-288-7808 Fax: 334-288-8089 | |
Christine Morris, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7125 University Ct, Montgomery, AL 36117 Phone: 334-239-2622 | |
Dr. Morgan Renee Carter, DNP, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4145 Carmichael Rd, Montgomery, AL 36106 Phone: 334-273-7000 Fax: 334-273-2228 | |
Kaitlyn Wells, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6940 Winton Blount Blvd, Montgomery, AL 36117 Phone: 334-279-9211 | |
Angela K Rayborn, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1725 W 4th St # Na, Montgomery, AL 36106 Phone: 334-262-2071 | |
Brittney Marie Barber, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7065 Sydney Curv, Montgomery, AL 36117 Phone: 334-495-2600 Fax: 334-495-2604 |