Ms Kelly Halloran, MN,RNC,FNP,DNC | |
1582 W San Marcos Blvd, Suite 100, San Marcos, CA 92078-4081 | |
(760) 591-9975 | |
(760) 591-9976 |
Full Name | Ms Kelly Halloran |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1582 W San Marcos Blvd, San Marcos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851418206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 319069 (California) | Primary |
Entity Name | Rancho Santa Fe Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629117809 PECOS PAC ID: 8729971346 Enrollment ID: O20050726001154 |
Mailing Address | Practice Location Address |
---|---|
Ms Kelly Halloran, MN,RNC,FNP,DNC 1582 W San Marcos Blvd, Suite 100, San Marcos, CA 92078-4081 Ph: (760) 591-9975 | Ms Kelly Halloran, MN,RNC,FNP,DNC 1582 W San Marcos Blvd, Suite 100, San Marcos, CA 92078-4081 Ph: (760) 591-9975 |
Leslie Hofer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Valpreda Rd, San Marcos, CA 92069 Phone: 760-736-6767 | |
Jocielynn Baltazar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 574 E Mission Rd Ste F, San Marcos, CA 92069 Phone: 760-571-3006 | |
Eloisa B Dietrich, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 277 Rancheros Dr Ste 301, San Marcos, CA 92069 Phone: 760-471-4073 Fax: 760-471-4078 | |
Dr. Claire Sullivan Moga, FNP, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 838 Nordahl Rd Ste 300, San Marcos, CA 92069 Phone: 760-074-7089 Fax: 760-466-0078 | |
Lauren Sarah Debski, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 152 Diamante Rd, San Marcos, CA 92078 Phone: 760-593-6603 Fax: 760-387-1809 | |
Ms. Twila A Noble, N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1582 W San Marcos Blvd Ste 100, San Marcos, CA 92078 Phone: 760-591-9975 Fax: 760-591-9976 | |
Julia Godley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1706 Descanso Ave, San Marcos, CA 92078 Phone: 760-280-2230 |