Mrs Marianne Nichols, RNC WHNP | |
109 Zeid Blvd, Henderson, TX 75652-6070 | |
(903) 655-4200 | |
(903) 655-4353 |
Full Name | Mrs Marianne Nichols |
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Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 109 Zeid Blvd, Henderson, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285733758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WX0002X | Registered Nurse - Obstetric, High-risk | 510096 (Texas) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | 510096 (Texas) | Primary |
Entity Name | East Texas Medical Center Healthcare Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124062484 PECOS PAC ID: 3678486222 Enrollment ID: O20031114000152 |
Entity Name | Etmc Physician Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
Mailing Address | Practice Location Address |
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Mrs Marianne Nichols, RNC WHNP Po Box 3662, Longview, TX 75606-3662 Ph: () - | Mrs Marianne Nichols, RNC WHNP 109 Zeid Blvd, Henderson, TX 75652-6070 Ph: (903) 655-4200 |
Ms. Jennifer S Melendez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Zeid Blvd Bldg 2, Henderson, TX 75652 Phone: 903-615-5612 | |
Mrs. Samantha Bowers Comeaux, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1115 Us Highway 259 S, Henderson, TX 75654 Phone: 903-392-8203 | |
Mica Ladon Norman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Wilson St, Henderson, TX 75652 Phone: 903-655-6536 Fax: 903-657-6072 | |
Tad Wayland Titlow, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 North High Street, Henderson, TX 75652 Phone: 903-392-8259 Fax: 903-392-8013 | |
Mrs. Amberly Hopson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1115 U.s. 259, Henderson, TX 75654 Phone: 903-392-8203 | |
Wendi Amber Wolfe, APRN, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 S Main St, Henderson, TX 75654 Phone: 903-360-3848 | |
Penny Blake, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Us Highway 79 S, Henderson, TX 75654 Phone: 903-717-3260 |