Nicole Fernandes, | |
3850 Grand Ave, Oakland, CA 94610-1004 | |
(888) 663-6331 | |
(415) 252-7176 |
Full Name | Nicole Fernandes |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 3850 Grand Ave, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558997569 | NPI | - | NPPES |
95012649 | Other | CA | NURSE PRACTITIONER LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95012649 (California) | Secondary |
363L00000X | Nurse Practitioner | 95012649 (California) | Primary |
Entity Name | Santa Rosa Community Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578631172 PECOS PAC ID: 0345130423 Enrollment ID: O20040319001444 |
Mailing Address | Practice Location Address |
---|---|
Nicole Fernandes, 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 Ph: () - | Nicole Fernandes, 3850 Grand Ave, Oakland, CA 94610-1004 Ph: (888) 663-6331 |
Emily Duane Lloyd, NPF Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1030 International Blvd, Oakland, CA 94606 Phone: 510-238-5400 Fax: 510-238-5437 | |
Erica Tringale, N.P, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3373 | |
Shelley Anne Bull, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3885 | |
Mrs. Michelle Annette Harris-miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3025 High St, Oakland, CA 94619 Phone: 510-261-5200 | |
Annie Roque, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-4418 | |
Mr. Keith M. Thibault, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Colleen Mccullough, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2950 International Blvd, Oakland, CA 94601 Phone: 510-535-4400 |