Nicole Diane Long, FNP-C | |
2990 Cortez Ave, Idaho Falls, ID 83404-7554 | |
(208) 535-0440 | |
(208) 535-0550 |
Full Name | Nicole Diane Long |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2990 Cortez Ave, Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891058939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP-1171A (Idaho) | Primary |
Entity Name | Margaret C Huggins Chartered |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609957455 PECOS PAC ID: 1153328133 Enrollment ID: O20100218000311 |
Entity Name | Monarch Healthcare Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346653862 PECOS PAC ID: 4981922309 Enrollment ID: O20150415002330 |
Mailing Address | Practice Location Address |
---|---|
Nicole Diane Long, FNP-C 2990 Cortez Ave, Idaho Falls, ID 83404-7554 Ph: (208) 535-0440 | Nicole Diane Long, FNP-C 2990 Cortez Ave, Idaho Falls, ID 83404-7554 Ph: (208) 535-0440 |
Mr. Morgan Tius Garriott, MSN, APRN, CNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7021 Fax: 208-542-7371 | |
Mrs. Molly Susan Phillipp, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2065 E 17th St, Suite D, Idaho Falls, ID 83404 Phone: 208-522-0747 Fax: 208-522-9641 | |
Sandy Palma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2155 Rendezvous Rd, Idaho Falls, ID 83402 Phone: 773-386-1861 | |
James D Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3360 Washington Pkwy Ste 2, Idaho Falls, ID 83404 Phone: 208-932-7024 Fax: 208-904-4447 | |
Salina Thetford, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2001 S Woodruff Ave Ste 4, Idaho Falls, ID 83404 Phone: 208-419-3271 | |
Christopher Leif Edwards, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2330 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7060 | |
Mr. Nathan Eric Bradfield, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2280 E 25th St, Idaho Falls, ID 83404 Phone: 208-227-2100 Fax: 208-227-2362 |