Mrs Lauren M Nystrom, PA-C | |
1700 2nd St, Napa, CA 94559-2445 | |
(707) 252-2931 | |
Not Available |
Full Name | Mrs Lauren M Nystrom |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 1700 2nd St, Napa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336398304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA19925 (California) | Secondary |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lauren M Nystrom, PA-C 2290 Sacramento St, Vallejo, CA 94590-2929 Ph: (707) 643-5785 | Mrs Lauren M Nystrom, PA-C 1700 2nd St, Napa, CA 94559-2445 Ph: (707) 252-2931 |
Ricardo Mendez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 Hartle Ct, Napa, CA 94559 Phone: 707-254-1775 | |
Morgan Marie-claude Pessereau, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1141 Pear Tree Ln Ste 100, Napa, CA 94558 Phone: 707-254-1770 | |
Merry D Widmeyer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1001 Professional Dr, Napa, CA 94558 Phone: 707-252-0494 Fax: 707-252-7586 | |
Kristine Himmerick, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1141 Pear Tree Ln Ste 100, Napa, CA 94558 Phone: 707-254-1770 | |
Kim Bellows, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3434 Villa Ln, Suite 150, Napa, CA 94558 Phone: 707-252-9660 Fax: 707-252-9610 | |
Ms. Mara Adelman, PHYSICIANS ASST PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1141 Pear Tree Ln, Napa, CA 94558 Phone: 707-254-1774 Fax: 707-251-2988 | |
Mia Alarcon, P.A.- C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3273 Claremont Way, Suite 209, Napa, CA 94558 Phone: 707-252-1062 |