Shirley Elizabeth Aldrich, ARNP | |
745 Blanding Blvd, Orange Park, FL 32065-5702 | |
(904) 213-2639 | |
Not Available |
Full Name | Shirley Elizabeth Aldrich |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 745 Blanding Blvd, Orange Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801966304 | NPI | - | NPPES |
3080382-00 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP3183912 (Florida) | Primary |
Entity Name | Conviva Medical Center Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
Entity Name | Haven Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407143316 PECOS PAC ID: 2365692373 Enrollment ID: O20121030000003 |
Mailing Address | Practice Location Address |
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Shirley Elizabeth Aldrich, ARNP Po Box 44008, Ufjp - Provider Enrollment, Jacksonville, FL 32231-4008 Ph: (904) 244-3199 | Shirley Elizabeth Aldrich, ARNP 745 Blanding Blvd, Orange Park, FL 32065-5702 Ph: (904) 213-2639 |
Diana Lynn Bridges, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Ms. Shara Lanecia Mcphall, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 239-223-2751 | |
Benjamin A Debski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1996 Kingsley Ave, Orange Park, FL 32073 Phone: 904-276-5700 Fax: 904-272-1474 | |
Amonae Danyel Russell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Mistwood Ct, Orange Park, FL 32065 Phone: 803-830-0541 | |
Heather Michelle Wade, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Kingsley Ave Ste 300, Orange Park, FL 32073 Phone: 904-621-0643 Fax: 904-621-0644 | |
Gregg Steven Halverson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 904-458-7780 | |
Erica Devetia Waters, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1536 Kingsley Ave Ste 117, Orange Park, FL 32073 Phone: 904-604-9914 Fax: 629-600-6769 |