| Ms Andrea Martin Windom, MSN PNP IBCLC | |
|
975 Sereno Dr, Vallejo, CA 94589-2441 | |
| (707) 651-3346 | |
| Not Available |
| Full Name | Ms Andrea Martin Windom |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 975 Sereno Dr, Vallejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700951126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0200X | Registered Nurse - Pediatrics | 362012 (California) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 362012 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| 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 |
|---|---|
| Ms Andrea Martin Windom, MSN PNP IBCLC 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-3346 | Ms Andrea Martin Windom, MSN PNP IBCLC 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-3346 |
Catherine Ann Heckert, NPF Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 243 Georgia Street, Suite B, Vallejo, CA 94590 Phone: 707-556-8100 Fax: 707-556-8107 | |
Alisha R Mcgriff, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 124 Lippizan Dr, Vallejo, CA 94591 Phone: 707-731-3496 | |
Miss Bonnie Jo Gallegos, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Kaiser Permanente Vallejo Medical Center, Vallejo, CA 94589 Phone: 707-651-1031 | |
Ryan Singer, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 339 Jade Cir, Vallejo, CA 94590 Phone: 770-369-5696 | |
Morgan Drew Creel, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 Glen Cove Marina Rd E Ste 103, Vallejo, CA 94591 Phone: 707-648-7337 | |
Maricar Inigo, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 243 Georgia Street, Ste B, Vallejo, CA 94590 Phone: 707-556-8100 Fax: 707-556-8107 | |
Naomi Elaine Harada, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3470 |