Shannon Nicol Clasen, MSN, APRN, FNP-C | |
1405 California Ave, Dos Palos, CA 93620-2300 | |
(866) 682-4842 | |
(877) 436-1494 |
Full Name | Shannon Nicol Clasen |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1405 California Ave, Dos Palos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891073425 | NPI | - | NPPES |
2162764 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95011598 (California) | Primary |
363LF0000X | Nurse Practitioner - Family | 06530 (Louisiana) | Secondary |
Entity Name | Golden Valley Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641 |
Mailing Address | Practice Location Address |
---|---|
Shannon Nicol Clasen, MSN, APRN, FNP-C 737 W Childs Ave, Merced, CA 95341-6805 Ph: (866) 682-4842 | Shannon Nicol Clasen, MSN, APRN, FNP-C 1405 California Ave, Dos Palos, CA 93620-2300 Ph: (866) 682-4842 |
Ms. Felicia Y Sims, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 California Ave, Dos Palos, CA 93620 Phone: 209-722-4842 | |
Mrs. Alice Ruth Foster-smith, FNP/PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2118 Marguerite St, Dos Palos, CA 93620 Phone: 209-392-6121 Fax: 559-392-8872 | |
Diana Huizar, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 California Ave, Dos Palos, CA 93620 Phone: 209-392-2111 Fax: 209-392-2850 | |
Donna Pam Tucker, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 California Ave, Dos Palos, CA 93620 Phone: 678-485-1906 |