| Shannon Marie Michaud, FNP-BC | |
|
1001 Willow Creek Rd Ste 2200, Prescott, AZ 86301-1614 | |
| (928) 445-6025 | |
| (928) 778-3026 |
| Full Name | Shannon Marie Michaud |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1001 Willow Creek Rd Ste 2200, Prescott, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093073041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704245947 (Michigan) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 272010 (Arizona) | Primary |
| Entity Name | Yavapai Regional Medical Center Physician Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Marie Michaud, FNP-BC Po Box 10880, Prescott, AZ 86304-0880 Ph: (928) 759-5874 | Shannon Marie Michaud, FNP-BC 1001 Willow Creek Rd Ste 2200, Prescott, AZ 86301-1614 Ph: (928) 445-6025 |
Nancy Concepcion Rosales, APRN, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305 Phone: 928-717-5232 Fax: 928-717-5238 | |
Mr. Donald Lee Pierce, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 N Pearl Ln, Prescott, AZ 86301 Phone: 602-526-0628 | |
Mrs. Brenda A. Austin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3165 Stillwater Dr, Prescott, AZ 86305 Phone: 928-277-0875 Fax: 608-716-2838 | |
Mr. Galen Francis Richmond, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-5458 | |
Nathan William Farnsworth, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 642 Dameron Dr, Prescott, AZ 86301 Phone: 928-445-5211 | |
Mrs. Susan Elaine Spear, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-8458 | |
Catherine A Kefer, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5430 Landmark Ln, Prescott, AZ 86301 Phone: 971-262-9600 |