Sally B Plourde, PNP | |
6425 S Ih 35 Ste 100, Austin, TX 78744-4230 | |
(512) 744-6000 | |
(512) 225-6520 |
Full Name | Sally B Plourde |
---|---|
Gender | Female |
Speciality | Clinical Nurse Specialist - Pediatrics |
Location | 6425 S Ih 35 Ste 100, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831442490 | NPI | - | NPPES |
3280315-02 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 541988 (Texas) | Secondary |
364SP0200X | Clinical Nurse Specialist - Pediatrics | AP121376 (Texas) | Primary |
Entity Name | Phoenix Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
Mailing Address | Practice Location Address |
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Sally B Plourde, PNP 9411 N Lamar Blvd Ste 120, Austin, TX 78753-4179 Ph: (512) 583-9679 | Sally B Plourde, PNP 6425 S Ih 35 Ste 100, Austin, TX 78744-4230 Ph: (512) 744-6000 |
Emily Allen Beddingfield, ACNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 7000 N Mo Pac Expy. Ste. 420, Austin, TX 78731 Phone: 512-482-0045 Fax: 512-476-9892 | |
Susanne Morris, AGCNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 4101 James Casey St Ste 100, Austin, TX 78745 Phone: 512-447-2202 Fax: 512-447-5337 | |
Ryan Webb, Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 12731 Research Blvd Ste B200, Austin, TX 78759 Phone: 512-407-4088 | |
Mafon Fomujang, NURSE PRACTITIONER Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2911 Medical Arts St Ste 10, Austin, TX 78705 Phone: 866-473-0663 | |
Carole L George, MSN, BC-ACNS, CDE Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 6500 N Mo Pac Expy, Bldg. 3, Suite 200, Austin, TX 78731 Phone: 512-458-8400 Fax: 512-458-8593 | |
Mrs. Mary Ann Marcella Miranda, APRN, AHCNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 3200 W Slaughter Ln, C/o West Oaks Rehabilitation And Healthcare Center, Austin, TX 78748 Phone: 512-992-7836 Fax: 512-364-0654 | |
Sarah Granger-glauser, RN, ACNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 711f W 38th St, Austin, TX 78705 Phone: 512-660-0195 Fax: 512-452-9171 |