Ms Debra Lee Nicholls, ARNP | |
7700 E Florentine Rd Ste 206, Prescott Valley, AZ 86314-2245 | |
(928) 442-8117 | |
(928) 772-8947 |
Full Name | Ms Debra Lee Nicholls |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 7700 E Florentine Rd Ste 206, Prescott Valley, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730770579 | NPI | - | NPPES |
206471 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | AP61337993 (Washington) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 265112 (Arizona) | Primary |
Entity Name | Post Acute Medical Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20200507000939 |
Entity Name | Cardiorenal Therapeutics Of Washington, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467054924 PECOS PAC ID: 7517379613 Enrollment ID: O20201215000311 |
Mailing Address | Practice Location Address |
---|---|
Ms Debra Lee Nicholls, ARNP Po Box 10880, Prescott, AZ 86304-0880 Ph: (602) 406-4786 | Ms Debra Lee Nicholls, ARNP 7700 E Florentine Rd Ste 206, Prescott Valley, AZ 86314-2245 Ph: (928) 442-8117 |
Mrs. Holly Ann Allred, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6386 E Ashton Pl, Prescott Valley, AZ 86314 Phone: 928-533-3971 | |
Reneallia Bennett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3075 N Windsong Dr Ste A, Prescott Valley, AZ 86314 Phone: 928-350-8780 Fax: 888-674-1228 | |
Cheryl Anne Wagner, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7600 E Florentine Rd, Prescott Valley, AZ 86314 Phone: 928-772-1610 | |
Laura Finkbeiner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7700 E Florentine Rd Ste 101, Prescott Valley, AZ 86314 Phone: 605-685-3995 | |
Kelly L Marshall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7700 E Florentine Rd Ste 101, Prescott Valley, AZ 86314 Phone: 928-442-8710 Fax: 928-442-8742 | |
Amy M Thein, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3345 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-445-5211 | |
Ms. Anita M Gilbert, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3100 N Glassford Hill Rd, Prescott Valley, AZ 86314 Phone: 928-777-7820 Fax: 928-777-7821 |