Mrs Gwyneth Leigh Holderby, DNP | |
800 Share Dr, Alva, OK 73717-3618 | |
(580) 327-2800 | |
Not Available |
Full Name | Mrs Gwyneth Leigh Holderby |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 800 Share Dr, Alva, Oklahoma |
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 |
---|---|---|---|
1124447305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 96130 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Share Medical Center | Alva, OK | Hospital |
St Mary's Regional Medical Center | Enid, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Enhanced Wound Care Llc | 2769877000 | 6 |
Alva Hospital Authority | 5597755306 | 14 |
Entity Name | Alva Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679684682 PECOS PAC ID: 5597755306 Enrollment ID: O20040514000014 |
Entity Name | Enhanced Wound Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306594148 PECOS PAC ID: 2769877000 Enrollment ID: O20220726000190 |
Mailing Address | Practice Location Address |
---|---|
Mrs Gwyneth Leigh Holderby, DNP Rr 1 Box 354, Byron, OK 73722-9507 Ph: (405) 880-4714 | Mrs Gwyneth Leigh Holderby, DNP 800 Share Dr, Alva, OK 73717-3618 Ph: (580) 327-2800 |
Mr. Jeremy D Logsdon, CNP- FAMILY Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 604 Choctaw St, Alva, OK 73717 Phone: 580-327-1118 Fax: 580-327-3067 | |
Bryan Nutter, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Share Dr, Alva, OK 73717 Phone: 580-327-2800 |