| Shannon Ives, CRNP | |
|
228 Independence Rd, East Stroudsburg, PA 18301-9435 | |
| (570) 426-2830 | |
| Not Available |
| Full Name | Shannon Ives |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Obstetrics & Gynecology |
| Location | 228 Independence Rd, East Stroudsburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063919611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | SP018102 (Pennsylvania) | Primary |
| Entity Name | Family Care Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Ives, CRNP 726 Maple Grove Rd, Moscow, PA 18444-6862 Ph: (570) 237-2312 | Shannon Ives, CRNP 228 Independence Rd, East Stroudsburg, PA 18301-9435 Ph: (570) 426-2830 |
Ms. Whitney Smith, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 179 Independence Rd, East Stroudsburg, PA 18301 Phone: 570-476-3771 | |
John Joseph Kerprich Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 E Brown St, East Stroudsburg, PA 18301 Phone: 570-421-4000 | |
Allison C. Gossar, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 E Brown St, Immediate Care Center, East Stroudsburg, PA 18301 Phone: 570-476-3700 Fax: 570-476-3637 | |
Christine Meyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E Brown St, East Stroudsburg, PA 18301 Phone: 570-476-3700 Fax: 570-476-3637 | |
Sarah R Greene, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Plaza Ct Ste C, East Stroudsburg, PA 18301 Phone: 570-421-3800 | |
Miss Amy Simon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E Brown St, East Stroudsburg, PA 18301 Phone: 570-476-3700 |