Ms Patrice Hart, FNP-C | |
850 E Foothill Blvd, Rialto, CA 92376-5230 | |
(909) 421-9242 | |
(909) 421-9407 |
Full Name | Ms Patrice Hart |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 850 E Foothill Blvd, Rialto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659781078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95000083 (California) | Primary |
Entity Name | County Of San Bernardino |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164467023 PECOS PAC ID: 3870499130 Enrollment ID: O20031209000420 |
Entity Name | Arrowhead Family Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164696381 PECOS PAC ID: 3577639004 Enrollment ID: O20080908000432 |
Mailing Address | Practice Location Address |
---|---|
Ms Patrice Hart, FNP-C 400 N Pepper Ave, Suite 301, Colton, CA 92324-1801 Ph: (909) 580-3331 | Ms Patrice Hart, FNP-C 850 E Foothill Blvd, Rialto, CA 92376-5230 Ph: (909) 421-9242 |
Mr. Jesus Omar Valenzuela, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 436 S Riverside Ave, Rialto, CA 92376 Phone: 909-877-8868 | |
Susan Suen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 416 W Foothill Blvd, Rialto, CA 92376 Phone: 909-421-0493 | |
Terrye Annette Anderson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 N Glenwood Ave, Rialto, Rialto, CA 92376 Phone: 909-874-6899 | |
Ms. Li Watkins, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 280 N Riverside Avenue, Rialto, CA 92376 Phone: 909-421-2121 Fax: 909-421-0491 | |
Mrs. Roxanna Jacqueline Lucero, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6662 Yucca Ave, Rialto, CA 92376 Phone: 909-877-3746 Fax: 909-820-6465 | |
Amanda Vo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 E Foothill Blvd, Rialto, CA 92376 Phone: 909-546-1050 Fax: 909-546-1061 | |
Jeremy James Neuner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 N Riverside Ave, Rialto, CA 92376 Phone: 909-421-2700 |