Ms Shamaria Latrice Wooten-boston, | |
8661 N Port Washington Rd, Fox Point, WI 53217-2209 | |
(866) 389-2727 | |
Not Available |
Full Name | Ms Shamaria Latrice Wooten-boston |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 8661 N Port Washington Rd, Fox Point, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467817676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 200549 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 14971 (Wisconsin) | Primary |
Entity Name | Minuteclinic Diagnostic Of Wisconsin Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346664216 PECOS PAC ID: 7810210259 Enrollment ID: O20141216001503 |
Entity Name | Minuteclinic Video Virtual Care Of Wisconsin, Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932732914 PECOS PAC ID: 0547684243 Enrollment ID: O20200727003573 |
Mailing Address | Practice Location Address |
---|---|
Ms Shamaria Latrice Wooten-boston, 8661 N Port Washington Rd, Fox Point, WI 53217-2209 Ph: (866) 389-2727 | Ms Shamaria Latrice Wooten-boston, 8661 N Port Washington Rd, Fox Point, WI 53217-2209 Ph: (866) 389-2727 |
Ms. Jean M Rosiak, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8675 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-352-2011 Fax: 414-351-7324 | |
Ms. Meghan C. Belongia, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7950 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-253-1194 Fax: 414-540-1065 | |
Ms. Mary K Murphy, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8675 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-352-2011 Fax: 414-351-7324 | |
Mary Ann Wolter, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7950 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-253-1194 | |
Mrs. Brandy C Perine, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8661 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-540-6836 |