Mrs Katherine Hatcher Hickerson, CRNA | |
11234 Anderson St, Loma Linda, CA 92354-2804 | |
(909) 558-4000 | |
Not Available |
Full Name | Mrs Katherine Hatcher Hickerson |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 11234 Anderson St, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477693612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 185437 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3834 (California) | Primary |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Mailing Address | Practice Location Address |
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Mrs Katherine Hatcher Hickerson, CRNA 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (909) 558-4000 | Mrs Katherine Hatcher Hickerson, CRNA 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (909) 558-4000 |
Joseph M Wilkinson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4475 | |
Kurt Dieter Cao, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8173 | |
Edwin E Dupper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4475 | |
Mr. Jose Kadry Ii, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-7811 Fax: 909-558-4143 | |
Rochelle Antoinette Solorzano, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-7811 | |
Karin Zabel Nercissian, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Bituin Oben, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-7811 |