Shannon Mcclenathan, | |
5205 E Fletcher Ave, Temple Terrace, FL 33617-1126 | |
(813) 987-2911 | |
Not Available |
Full Name | Shannon Mcclenathan |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 5205 E Fletcher Ave, Temple Terrace, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366018111 | NPI | - | NPPES |
ARPN11013226 | Other | FL | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11013226 (Florida) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | APRN11013226 (Florida) | Primary |
Entity Name | Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780787382 PECOS PAC ID: 3476593534 Enrollment ID: O20050509000160 |
Mailing Address | Practice Location Address |
---|---|
Shannon Mcclenathan, 5205 E Fletcher Ave, Temple Terrace, FL 33617-1126 Ph: (813) 987-2911 | Shannon Mcclenathan, 5205 E Fletcher Ave, Temple Terrace, FL 33617-1126 Ph: (813) 987-2911 |
Ofelia Maria Chou, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637 Phone: 813-871-8183 Fax: 813-871-8184 | |
Viviane L Goncalves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 303-261-7664 | |
Ms. Tracy L Czop, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-779-6303 Fax: 888-977-1998 | |
Ashley Nichole Christie, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12662 Telecom Dr, Temple Terrace, FL 33637 Phone: 813-910-0030 Fax: 843-790-1953 | |
Shawna Lord, MS, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12662 Telecom Dr, Temple Terrace, FL 33637 Phone: 813-910-0030 | |
Mischa Nicole Tice, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 228-363-4729 | |
Amanda Parker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5205 E Fletcher Ave, Temple Terrace, FL 33617 Phone: 813-987-2911 Fax: 813-987-2853 |