Shanna Stivers Dave, APRN-CNP PMHNP-BC | |
18 Alexander Ave Unit 1, Bedford, KY 40006-1114 | |
(502) 255-0222 | |
(502) 255-0600 |
Full Name | Shanna Stivers Dave |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 18 Alexander Ave Unit 1, Bedford, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598591075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4027554 (Kentucky) | Primary |
Entity Name | First You Medical Center Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841397056 PECOS PAC ID: 4688572464 Enrollment ID: O20130725000332 |
Mailing Address | Practice Location Address |
---|---|
Shanna Stivers Dave, APRN-CNP PMHNP-BC Po Box 124, Eminence, KY 40019-0124 Ph: (502) 593-0083 | Shanna Stivers Dave, APRN-CNP PMHNP-BC 18 Alexander Ave Unit 1, Bedford, KY 40006-1114 Ph: (502) 255-0222 |
Casey Meyer, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18 Alexander Ave Unit 1, Bedford, KY 40006 Phone: 502-593-0083 Fax: 502-255-0600 | |
Meng Zhang, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Shepherd Ln, Bedford, KY 40006 Phone: 502-255-3244 Fax: 502-255-7844 | |
Tamara Royalty, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 470 Highway 421 N, Bedford, KY 40006 Phone: 502-255-7732 |