Nicole Ivett Blanco, APRN-CNP | |
3505 Center St, Deer Park, TX 77536-5078 | |
(866) 389-2727 | |
Not Available |
Full Name | Nicole Ivett Blanco |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3505 Center St, Deer Park, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427758382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1110090 (Texas) | Primary |
Entity Name | Texas Regional Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467011643 PECOS PAC ID: 5193149706 Enrollment ID: O20200630001293 |
Entity Name | Goodside Health Medical, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548999451 PECOS PAC ID: 1557745478 Enrollment ID: O20220826000394 |
Mailing Address | Practice Location Address |
---|---|
Nicole Ivett Blanco, APRN-CNP 4410 Spring Valley Rd, Houston, TX 77041-9042 Ph: (832) 545-1595 | Nicole Ivett Blanco, APRN-CNP 3505 Center St, Deer Park, TX 77536-5078 Ph: (866) 389-2727 |
Mrs. Ukisha Newsome, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3505 Center St, Deer Park, TX 77536 Phone: 832-659-0132 | |
Shavonne Sweatt, AGNP-C, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2910 Center St, Deer Park, TX 77536 Phone: 281-479-5941 | |
Melanie Talbert, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 W San Augustine St, Deer Park, TX 77536 Phone: 281-884-8100 | |
Dr. Britney Michelle Holton, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3505 Center St, Deer Park, TX 77536 Phone: 281-476-3460 | |
Michele Brubaker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3505 Center St, Deer Park, TX 77536 Phone: 281-476-3460 | |
Tiffany George, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 Hoover Dr, Deer Park, TX 77536 Phone: 832-875-8486 | |
Shijin Justus Fernandez, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 W San Augustine St, Deer Park, TX 77536 Phone: 281-884-8100 |