Mrs Brenda S Halton, PMHNP | |
1010 West Columbia Street, Farmington, MO 63640 | |
(573) 218-6792 | |
Not Available |
Full Name | Mrs Brenda S Halton |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 1010 West Columbia Street, Farmington, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316545254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2020022573 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Great Mines Health Center | 3072598143 | 15 |
Entity Name | Great Mines Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376536953 PECOS PAC ID: 3072598143 Enrollment ID: O20041004000035 |
Mailing Address | Practice Location Address |
---|---|
Mrs Brenda S Halton, PMHNP 1068 Lovett Street, Desoto, MO 63020-1166 Ph: (314) 401-7854 | Mrs Brenda S Halton, PMHNP 1010 West Columbia Street, Farmington, MO 63640 Ph: (573) 218-6792 |
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