Nancy Wolf, FNP | |
603 Hemlock St, Suite 2d, Brookings, OR 97415-9424 | |
(541) 412-2094 | |
(541) 469-6867 |
Full Name | Nancy Wolf |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 603 Hemlock St, Brookings, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558577569 | NPI | - | NPPES |
1487696985 | Other | OR | CURRY HEALTH DISTRICT |
292124 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 081001426 (Oregon) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 200650003NP (Oregon) | Primary |
Entity Name | Powell Valley Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699721316 PECOS PAC ID: 5092798561 Enrollment ID: O20040608000424 |
Mailing Address | Practice Location Address |
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Nancy Wolf, FNP 94220 4th St, Gold Beach, OR 97444-7756 Ph: (541) 247-3000 | Nancy Wolf, FNP 603 Hemlock St, Suite 2d, Brookings, OR 97415-9424 Ph: (541) 412-2094 |
Mrs. Shana S Stark, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 5th St, Brookings, OR 97415 Phone: 541-412-2000 Fax: 541-412-2081 | |
Susan F, Pascual, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 5th St, Brookings, OR 97415 Phone: 541-671-0622 | |
Ms. Carol Oliver, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 Mill Beach Rd, Brookings, OR 97415 Phone: 541-412-8700 Fax: 707-465-6166 | |
Mrs. Tonya Shantel Escobar, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 15861 Highway 101 S, Brookings, OR 97415 Phone: 541-254-1485 | |
Ms. Kelly M Clayton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 446 Oak St, Brookings, OR 97415 Phone: 541-469-7401 Fax: 541-469-7083 | |
Jennifer M. Boyle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 585 5th St, Brookings, OR 97415 Phone: 541-469-5377 Fax: 541-469-8015 | |
Jackie B Michael-havens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 5th St, Brookings, OR 97415 Phone: 541-412-2000 Fax: 541-412-2081 |