Mrs Constance Audrianna Mudda, FNP-C | |
2400 Boiling Springs Rd, Boiling Springs, SC 29316-5304 | |
(864) 599-0731 | |
(864) 599-0791 |
Full Name | Mrs Constance Audrianna Mudda |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2400 Boiling Springs Rd, Boiling Springs, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083292148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | MCCA-8ROC7 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 28160 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Molina Care Connections Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20191016002409 |
Mailing Address | Practice Location Address |
---|---|
Mrs Constance Audrianna Mudda, FNP-C 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 695-6697 | Mrs Constance Audrianna Mudda, FNP-C 2400 Boiling Springs Rd, Boiling Springs, SC 29316-5304 Ph: (864) 599-0731 |
Blair Gault, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1888 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 866-389-2727 | |
Rebecca Joy Brown, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Village Creek Dr, Boiling Springs, SC 29316 Phone: 864-327-9003 Fax: 800-253-0649 | |
Virginia Lee Ivey-mingione, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Parris Bridge Road, Boiling Springs, SC 29316 Phone: 864-599-1998 | |
Jennifer Nicole Gahan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1888 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 864-599-0920 | |
Felisha Booker, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1214 Turning Leaf Cir, Boiling Springs, SC 29316 Phone: 864-814-8660 | |
Emily Lane, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1888 Boiling Springs Rd, Boiling Springs, SC 29316 Phone: 866-389-2727 |