Shante R Myers, | |
5959 Greenback Ln Ste 500, Citrus Heights, CA 95621-4700 | |
(916) 734-5444 | |
Not Available |
Full Name | Shante R Myers |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5959 Greenback Ln Ste 500, Citrus Heights, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558053256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95024459 (California) | Primary |
Entity Name | Wellspace Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124112933 PECOS PAC ID: 8426157975 Enrollment ID: O20070623000117 |
Mailing Address | Practice Location Address |
---|---|
Shante R Myers, 1324 Gagle Way, Sacramento, CA 95831-2863 Ph: (916) 832-5705 | Shante R Myers, 5959 Greenback Ln Ste 500, Citrus Heights, CA 95621-4700 Ph: (916) 734-5444 |
Mrs. Catherine J. Stephens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7115 Greenback Ln, Fl2, Citrus Heights, CA 95621 Phone: 916-536-3620 Fax: 916-536-3541 | |
Manli Huang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7115 Greenback Ln, Fl1, Citrus Heights, CA 95621 Phone: 916-536-2442 Fax: 916-536-2598 | |
Shiela Chua Ng, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5959 Greenback Ln Ste 500, Citrus Heights, CA 95621 Phone: 916-737-5555 | |
Ami Kathleen Tucker, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5959 Greenback Ln Ste 500, Citrus Heights, CA 95621 Phone: 916-737-5555 | |
Patti K Modiste, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8421 Auburn Blvd, #160, Citrus Heights, CA 95610 Phone: 916-725-6063 Fax: 916-725-0299 | |
Ms. Heather Ann Robrecht Kelly, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7115 Greenback Ln, Fl 2, Citrus Heights, CA 95621 Phone: 916-733-3460 Fax: 916-560-0266 | |
Duy-phuong Loc Le, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5406 Sunrise Blvd Ste 4, Citrus Heights, CA 95610 Phone: 800-972-5547 Fax: 916-887-7963 |