Shellie Dean Graves, NP | |
5000 Pacific Coast Hwy, San Clemente, CA 92674 | |
(949) 531-0963 | |
Not Available |
Full Name | Shellie Dean Graves |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 5000 Pacific Coast Hwy, San Clemente, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043869738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | NP95011932 (California) | Primary |
Entity Name | Saddleback Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386605822 PECOS PAC ID: 5092606905 Enrollment ID: O20040322000770 |
Entity Name | Housecall Doctors Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033164017 PECOS PAC ID: 6103802855 Enrollment ID: O20040624001654 |
Mailing Address | Practice Location Address |
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Shellie Dean Graves, NP 5000 Pacific Coast Hwy, San Clemente, CA 92672-1313 Ph: (949) 531-0963 | Shellie Dean Graves, NP 5000 Pacific Coast Hwy, San Clemente, CA 92674 Ph: (949) 531-0963 |
Katarzyna Anna Hudson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 638 Camino De Los Mares, San Clemente, CA 92673 Phone: 714-348-6790 | |
Mrs. Kellie Christine Atkins, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Via Plumosa, San Clemente, CA 92673 Phone: 949-291-9617 | |
Dr. Bimisa Chata Augustin, DNP, MSN, APRN,FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2719 S El Camino Real, San Clemente, CA 92672 Phone: 737-377-1600 Fax: 949-569-1295 | |
Mrs. Victoria Lynn Whalen, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 638 Camino De Los Mares, San Clemente, CA 92673 Phone: 866-389-2727 | |
Sonia Gordon Luckey, DNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 638 Camino De Los Mares, San Clemente, CA 92673 Phone: 949-494-8426 | |
Linda Marie Long, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 187 Avenida La Pata, San Clemente, CA 92673 Phone: 949-528-4758 Fax: 949-288-0432 |