Shannon Renee Brady-bardsher, ARNP | |
2220 W Iowa Ave, Chickasha, OK 73018-2738 | |
(405) 779-2834 | |
Not Available |
Full Name | Shannon Renee Brady-bardsher |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2220 W Iowa Ave, Chickasha, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316211600 | NPI | - | NPPES |
200452510A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 83612 (Oklahoma) | Primary |
Entity Name | Grady Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750370268 PECOS PAC ID: 0648175778 Enrollment ID: O20031203000193 |
Entity Name | Grady Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164859260 PECOS PAC ID: 0648175778 Enrollment ID: O20150520000323 |
Mailing Address | Practice Location Address |
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Shannon Renee Brady-bardsher, ARNP 2220 W Iowa Ave, Chickasha, OK 73018-2738 Ph: (405) 779-2834 | Shannon Renee Brady-bardsher, ARNP 2220 W Iowa Ave, Chickasha, OK 73018-2738 Ph: (405) 779-2834 |
Alisa Tarasova, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 S 29th St, Chickasha, OK 73018 Phone: 058-968-0584 Fax: 855-223-1999 | |
Eunhye Steele, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 S 29th St, Chickasha, OK 73018 Phone: 405-896-8058 Fax: 855-223-1999 | |
Ms. Kaletha Lynell Hightower, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 702 W Texas Ave, Chickasha, OK 73018 Phone: 405-604-7995 | |
Jerrus Harris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2244 | |
Sara Buster, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 S 29th St, Chickasha, OK 73018 Phone: 405-816-8058 Fax: 855-223-1999 | |
Heather Michelle Rowell, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 411 W Grand Ave, Chickasha, OK 73018 Phone: 405-224-0053 | |
Martina Miner, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018 Phone: 405-224-2100 |