Mrs Happy Star Shaw, FNP | |
29632 Hwy 299 E, Round Mountain, CA 96084 | |
(530) 337-6243 | |
(530) 337-6655 |
Full Name | Mrs Happy Star Shaw |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 29632 Hwy 299 E, Round Mountain, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376149864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95016055 (California) | Primary |
Entity Name | Mountain Valleys Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356438261 PECOS PAC ID: 4284685538 Enrollment ID: O20050429000424 |
Mailing Address | Practice Location Address |
---|---|
Mrs Happy Star Shaw, FNP Po Box 228, Round Mountain, CA 96084-0228 Ph: (530) 337-6243 | Mrs Happy Star Shaw, FNP 29632 Hwy 299 E, Round Mountain, CA 96084 Ph: (530) 337-6243 |
Jeremy Wayne Fuller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29632 Hwy. 299 East, Round Mountain, CA 96084 Phone: 530-337-5750 | |
Mr. Asa Mark Calkins, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29632 Highway 299 East, Round Mountain, CA 96084 Phone: 530-337-6243 Fax: 530-337-6655 | |
Shaelah Ellen Lewis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29632 Highway 299 East, Round Mountain, CA 96084 Phone: 530-337-5762 | |
Ms. Darra A. Husome, FNP, CNS Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 29632 Highway 299 East, Round Mountain, CA 96084 Phone: 530-337-6243 |