Mrs Autumn Rae Tucker, CNP | |
161 S, Main Street, Mission, SD 57555 | |
(605) 856-2295 | |
Not Available |
Full Name | Mrs Autumn Rae Tucker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 161 S, Main Street, Mission, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225578198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CP001196 (South Dakota) | Secondary |
363L00000X | Nurse Practitioner | CP001196 (South Dakota) | Primary |
Entity Name | Horizon Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356459382 PECOS PAC ID: 8921997933 Enrollment ID: O20040315000974 |
Mailing Address | Practice Location Address |
---|---|
Mrs Autumn Rae Tucker, CNP 161 S Main St., Mission, SD 57555 Ph: (605) 856-2295 | Mrs Autumn Rae Tucker, CNP 161 S, Main Street, Mission, SD 57555 Ph: (605) 856-2295 |
Briana Broschat, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 Main St, Mission, SD 57555 Phone: 856-605-2295 | |
Ryan Ross Rowe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 S. Main, Mission, SD 57555 Phone: 605-856-2295 | |
Alyssa Morgan Hicks, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 S Main Street, Mission, SD 57555 Phone: 605-856-2295 Fax: 866-423-6811 |