Ms Diane R Mcnickle, CRNP | |
1425 Horsham Rd, North Wales, PA 19454-1320 | |
(215) 371-6310 | |
Not Available |
Full Name | Ms Diane R Mcnickle |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1425 Horsham Rd, North Wales, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437267127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | TP005852C (Pennsylvania) | Primary |
Entity Name | Madlyn And Leonard Abramson Center For Jewish Life |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598752206 PECOS PAC ID: 5597650978 Enrollment ID: O20040216000724 |
Mailing Address | Practice Location Address |
---|---|
Ms Diane R Mcnickle, CRNP 410 Tower Rd, Sellersville, PA 18960-3128 Ph: (215) 453-7613 | Ms Diane R Mcnickle, CRNP 1425 Horsham Rd, North Wales, PA 19454-1320 Ph: (215) 371-6310 |
Deborah Buck, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 171 Filly Drive, North Wales, PA 19454 Phone: 215-393-7379 | |
Mrs. Lateefa Antrom, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1427 Horsham Rd, North Wales, PA 19454 Phone: 215-326-9065 Fax: 215-703-9776 | |
Krupali Patel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 Horsham Rd, North Wales, PA 19454 Phone: 215-371-3000 | |
Amanda Patience Hudson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 Welsh Rd Ste 220, North Wales, PA 19454 Phone: 215-542-2100 | |
Raquel Floyd, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1606 Morris Ct, North Wales, PA 19454 Phone: 267-236-2297 | |
Lena Valsa Johny, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 Gwynedd Lea Dr, North Wales, PA 19454 Phone: 215-882-2490 |