Ms Anne C Retallick, FNP | |
1 Madrone St, Frank Howard Memorial Hospital, Willits, CA 95490-4225 | |
(707) 459-6801 | |
Not Available |
Full Name | Ms Anne C Retallick |
---|---|
Gender | Female |
Speciality | Registered Nurse - General Practice |
Location | 1 Madrone St, Willits, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144315730 | NPI | - | NPPES |
10493 | Other | CA | RN NP FURNISHING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0000X | Registered Nurse - General Practice | 358288 10493 (California) | Primary |
Entity Name | Willits Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356339543 PECOS PAC ID: 7416940697 Enrollment ID: O20040405000843 |
Entity Name | Pacific Redwood Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295924470 PECOS PAC ID: 6204913767 Enrollment ID: O20080408000421 |
Mailing Address | Practice Location Address |
---|---|
Ms Anne C Retallick, FNP 422 South Barnes Street, Ukiah, CA 95482 Ph: (707) 462-5861 | Ms Anne C Retallick, FNP 1 Madrone St, Frank Howard Memorial Hospital, Willits, CA 95490-4225 Ph: (707) 459-6801 |
Sheila M Ames, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 25530 Archer Ln, Willits, CA 95490 Phone: 707-367-0706 | |
Mr. Kyle Christopher Neuer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10755 Mobile Village Way Spc 20, Willits, CA 95490 Phone: 650-793-9529 | |
Robin Sagen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 221 S Lenore Ave # B, Willits, CA 95490 Phone: 707-456-3853 | |
Mr. Steven Clair Lovell, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1969 Buckeye Rd, Willits, CA 95490 Phone: 707-459-1556 Fax: 707-456-3175 | |
Henrietta A Simonsson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Madrone St, Willits, CA 95490 Phone: 707-456-3050 | |
Debra Weisman, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Marcela Dr, Willits, CA 95490 Phone: 707-459-6801 |